Individual
JAIRY ANAI MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 625-3162
Mailing address
2203 BABCOCK RD, SAN ANTONIO, TX 78229-4412
(210) 614-3911
(210) 625-3162
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123156
TX
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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