Individual
ELIZABETH TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
855 E BASSE RD, SAN ANTONIO, TX 78209-1890
(210) 910-2900
Mailing address
6511 CANDLEVIEW CT, SAN ANTONIO, TX 78244-1908
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216713
TX
Other
Enumeration date
12/05/2021
Last updated
12/05/2021
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