Individual
MS. SANDRA ELSA GIDDENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5121 CRESTWAY DR, SUITE 507, SAN ANTONIO, TX 78239-1980
(210) 646-8008
(210) 646-8242
Mailing address
1040 VALLEY FORGE DR, SCHERTZ, TX 78154-2023
(210) 658-1014
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208988
TX
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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