Provider Demographics
NPI:1073407581
Name:STERZENBACK, MARY JO (PT)
Entity type:Individual
Prefix:
First Name:MARY JO
Middle Name:
Last Name:STERZENBACK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18823 HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-3213
Mailing Address - Country:US
Mailing Address - Phone:210-378-1495
Mailing Address - Fax:
Practice Address - Street 1:18823 HILLSIDE DR
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-3213
Practice Address - Country:US
Practice Address - Phone:210-378-1495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-07
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1038966225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist