Individual
GABRIEL MICHAEL AMEZQUITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
8501 LAURENS LN, SAN ANTONIO, TX 78218-6092
(210) 801-1223
Mailing address
9143 OCEAN PORT ST, SAN ANTONIO, TX 78242-3216
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118475
TX
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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