Individual
MARINA GIL DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9514 CONSOLE DR STE 102, SAN ANTONIO, TX 78229-2042
(210) 449-1118
Mailing address
9514 CONSOLE DR STE 102, SAN ANTONIO, TX 78229-2042
(210) 449-1118
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211280
TX
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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