Most Relevant Information
Provider Data
| NPI Number: | 1003371238 |
| Provider Name: | KARINA A DE ANDA PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 2112055 |
Most Important Dates
| Enumeration Date: | 02/01/2019 |
| Last Updated: | 09/07/2020 |
Provider Practice Location
7109 N BARTLETT AVE
SUITE 109
LAREDO
TX
78041
Practice Location Phone/Fax
| Phone: | 9567272122 |
| Fax: | 9567274445 |
Provider Mailing Location
7109 N BARTLETT AVE
SUITE 109
LAREDO
TX
78041
Provider Mailing Phone/Fax
| Phone: | 9567272122 |
| Fax: | 9567274445 |