Individual
CONNIE SENDEJO IHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6800 PARK TEN BLVD, STE 135-EAST, SAN ANTONIO, TX 78213-4211
(210) 734-6050
Mailing address
206 SADIE ST, APT #1, SAN ANTONIO, TX 78210-1415
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
403625
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149984001
—
TX
Enumeration date
06/18/2008
Last updated
03/11/2010
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