Individual
PEGGY DAVENPORT-MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N MAIN ST, BOERNE, TX 78006-1621
(830) 249-3085
(830) 249-6343
Mailing address
625 N MAIN ST, BOERNE, TX 78006-1621
(830) 249-3085
(830) 249-6343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
203572
TX
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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