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Individual

ERNEST REGALADO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Mailing address
3500 GOLIAD RD LOT 152, SAN ANTONIO, TX 78223-4361

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216696
TX

Other

Enumeration date
04/30/2021
Last updated
04/30/2021
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