MEDICARE: MRS. SHEILA ANN ALEJOS P.T

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
1	225100000X	Physical Therapist	1059509	TX

General Provider Information

NPI Number	:	1144233818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA ANN ALEJOS P.T

Provider Business Mailing Address
First Line	:	303 E QUINCY ST STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1922
Country	:	US
Telephone Number	:	210-224-2320
Fax Number	:	210-224-2263

Provider Business Practice Location Address
First Line	:	303 E QUINCY ST STE 102
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78215-1922
Country	:	US
Telephone Number	:	210-224-2320
Fax Number	:	210-224-2263

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	07/08/2007

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