Individual
TABITA VALADEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
8627 LAKESIDE PKWY, SAN ANTONIO, TX 78245-3261
(979) 777-7760
Mailing address
1726 N COMAL, SAN ANTONIO, TX 78212-4215
(210) 987-7987
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209387
TX
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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