Individual
LARA BERNARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9514 CONSOLE DR, SAN ANTONIO, TX 78229-2069
(210) 448-9111
(210) 308-9595
Mailing address
9514 CONSOLE DR, SAN ANTONIO, TX 78229-2069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125227
TX
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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