Provider Demographics
NPI:1609381011
Name:ALFARO, JHANIN NICOLE (PT,DPT)
Entity Type:Individual
Prefix:
First Name:JHANIN
Middle Name:NICOLE
Last Name:ALFARO
Suffix:
Gender:F
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2660 COMMON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-3584
Mailing Address - Country:US
Mailing Address - Phone:830-214-7640
Mailing Address - Fax:
Practice Address - Street 1:2660 COMMON ST STE 101
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-3585
Practice Address - Country:US
Practice Address - Phone:830-214-7640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-07
Last Update Date:2017-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223797225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist