Individual
MARY JANE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11933 MISSION TRACE ST, SAN ANTONIO, TX 78230-2123
(210) 690-8650
Mailing address
11933 MISSION TRACE ST, SAN ANTONIO, TX 78230-2123
(210) 690-8650
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
101219
TX
Other
Enumeration date
03/15/2014
Last updated
03/15/2014
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