Provider Demographics
NPI:1104474402
Name:LICHTENBERGER, JAMES HOLDEN (DPT)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:HOLDEN
Last Name:LICHTENBERGER
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Gender:M
Credentials:DPT
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Mailing Address - Street 1:3922 WISEMAN BLVD
Mailing Address - Street 2:BLDG V, SUITE 502
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251
Mailing Address - Country:US
Mailing Address - Phone:210-775-6655
Mailing Address - Fax:210-761-7291
Practice Address - Street 1:3922 WISEMAN BLVD
Practice Address - Street 2:BLDG V, SUITE 502
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78251
Practice Address - Country:US
Practice Address - Phone:210-775-6655
Practice Address - Fax:210-761-7291
Is Sole Proprietor?:No
Enumeration Date:2019-08-29
Last Update Date:2023-07-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist