Organization
FOREVER HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSLYN M. MAZAL OTR/LLC (PRESIDENT)
(210) 402-4077
Entity
Organization
Contact information
Practice address
202 W SUNSET RD, SUITE B, SAN ANTONIO, TX 78209-2635
(210) 402-4077
Mailing address
202 W SUNSET RD, SUITE B, SAN ANTONIO, TX 78209-2635
(210) 402-4077
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062HE
BCBS
TX
Enumeration date
05/30/2008
Last updated
07/09/2008
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