Individual
MARISA GRACE MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR
Contact information
Practice address
1020 CENTRAL PKWY S, SAN ANTONIO, TX 78232-5021
(210) 798-2273
Mailing address
8503 HONILEY ST, SAN ANTONIO, TX 78254-2206
(210) 219-2516
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
116887
TX
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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