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NPI Code Detail

MEDICARE: JOEL SEBASTIAN MARQUEZ PT, DPT, ATC, LAT

MEDICARE:   JOEL SEBASTIAN MARQUEZ  PT, DPT, ATC, LAT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1403116TX
22255A2300XAthletic TrainerAT9900TX

General Provider Information

NPI Number : 1245711761
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL SEBASTIAN MARQUEZ PT, DPT, ATC, LAT
Provider Business Mailing Address
First Line : PO BOX 416
Second Line :
City : STOCKDALE
State : TX
Zip : 78160-0416
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 414 W SUNSET RD STE 205
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78209-1771
Country : US
Telephone Number : 210-564-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 01/13/2025

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Directions to “ JOEL SEBASTIAN MARQUEZ PT, DPT, ATC, LAT” Practice Location

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