Healthcare Provider Details

I. General information

NPI: 1427741172
Provider Name (Legal Business Name): OLIVIA MAREE ARANDA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9514 CONSOLE DR STE 102
SAN ANTONIO TX
78229-2042
US

IV. Provider business mailing address

2104 S ERICA ST
PHARR TX
78577-6793
US

V. Phone/Fax

Practice location:
  • Phone: 210-448-9111
  • Fax: 210-308-9595
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1382184
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: