Provider Demographics
NPI:1649846577
Name:COBARRUBIAS, CECELIA MARIE
Entity type:Individual
Prefix:
First Name:CECELIA
Middle Name:MARIE
Last Name:COBARRUBIAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CECELIA
Other - Middle Name:MARIE
Other - Last Name:MANCERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:11703 HUEBNER RD STE 100
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-1211
Practice Address - Country:US
Practice Address - Phone:210-612-0492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1348604225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist