Individual
MS. SUSAN VANDERGRIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6800 PARK TEN BLVD, SUITE 246-E, SAN ANTONIO, TX 78213-4211
(210) 377-3742
(210) 377-3744
Mailing address
305 NE LOOP 820, BUSINESS TOWER, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212741
TX
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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