Provider Demographics
NPI:1245942820
Name:JUAREZ HIGUERA, CECILIA (PTA)
Entity type:Individual
Prefix:
First Name:CECILIA
Middle Name:
Last Name:JUAREZ HIGUERA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:
Other - Last Name:JUAREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8525 FLOYD CURL DR APT 2410
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1525
Mailing Address - Country:US
Mailing Address - Phone:956-579-5255
Mailing Address - Fax:
Practice Address - Street 1:8525 FLOYD CURL DR APT 2410
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1525
Practice Address - Country:US
Practice Address - Phone:956-579-5255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2173313225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant