Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deiderich A Dutchover, PTA

Individual provider Physical Therapy Assistant · NPI 1912488495

Deiderich A Dutchover, PTA is a Physical Therapy Assistant in San Antonio, Texas. Works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2018
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

7710 W Interstate 10
San Antonio, TX 78230-4711
Phone: (210) 377-3355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 202 Billie Dr, Fredericksburg, TX 78624-5056 — (830) 997-8840

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2130099 (TX)

Record details

NPI number1912488495
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 23, 2018
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020

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