Provider Demographics
NPI:1184179459
Name:CONSTANTINO, TIFFANY JEAN I (DPT)
Entity Type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:JEAN
Last Name:CONSTANTINO
Suffix:I
Gender:F
Credentials:DPT
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Mailing Address - Street 1:12508 JONES MALTSBERGER RD
Mailing Address - Street 2:110
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78247-4214
Mailing Address - Country:US
Mailing Address - Phone:888-590-4002
Mailing Address - Fax:210-590-4585
Practice Address - Street 1:2550 HUNTER RD
Practice Address - Street 2:SUITE 1104
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5263
Practice Address - Country:US
Practice Address - Phone:512-396-5122
Practice Address - Fax:512-396-5123
Is Sole Proprietor?:No
Enumeration Date:2016-08-16
Last Update Date:2022-09-27
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Provider Licenses
StateLicense IDTaxonomies
TX12803772251X0800X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic