Individual
JADE RENEA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6870 HEUERMANN RD, SAN ANTONIO, TX 78256-9605
(210) 840-8000
Mailing address
27223 RIO CV, BOERNE, TX 78015-4844
(210) 508-4304
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208025
TX
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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