Individual
CARLOS HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3201 CHERRY RIDGE ST STE 323C, SAN ANTONIO, TX 78230-4831
(210) 349-1415
Mailing address
3201 CHERRY RIDGE ST STE 323C, SAN ANTONIO, TX 78230-4831
(210) 349-1415
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120558
TX
Other
Enumeration date
05/08/2020
Last updated
05/11/2020
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