Marie Louise Kidd
Physical Therapist in San Antonio, TX. Individual provider (NPI-1).
NPI number1891364501
StatusActive
Last updated in NPPESJun 18, 2021
Details
- NPI
- 1891364501
- Entity type
- Individual (NPI-1)
- Name
- Marie Louise Kidd
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2021
- Certification date
- Jun 18, 2021
- Last updated
- Jun 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
21 Spurs Ln Ste 340San Antonio, TX 78240-1680
Phone 210-798-8585
Mailing address
7505 N Loop 1604 E Ste 101Live Oak, TX 78233-2604
Phone 210-590-4000
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