Most Relevant Information
Provider Data
| NPI Number: | 1003464066 |
| Provider Name: | MARDEL JUDITH MINALDO PT, DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1221419 |
Most Important Dates
| Enumeration Date: | 09/03/2019 |
| Last Updated: | 12/04/2019 |
Provider Practice Location
5726 W HAUSMAN RD STE 100
SAN ANTONIO
TX
782491651
Practice Location Phone/Fax
| Phone: | 2107499414 |
| Fax: |
Provider Mailing Location
5726 W HAUSMAN RD STE 100
SAN ANTONIO
TX
782491651
Provider Mailing Phone/Fax
| Phone: | 2107499414 |
| Fax: |