Individual
JAIMIE BLESS BRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4096 DE ZAVALA RD, SAN ANTONIO, TX 78249-2005
(210) 408-7411
Mailing address
2210 GRAPE BLOSSOM ST, SAN ANTONIO, TX 78247-4312
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120603
TX
Other
Enumeration date
02/18/2021
Last updated
02/19/2021
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