Individual
REGINA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
217 E BANDERA RD, STE 2, BOERNE, TX 78006-2992
(830) 331-2083
Mailing address
217 E BANDERA RD, STE 2, BOERNE, TX 78006-2992
(830) 331-2083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210441
TX
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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