Individual
JOHN MACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
10127 HUEBNER RD, SAN ANTONIO, TX 78240-1320
(210) 858-0828
Mailing address
10127 HUEBNER RD, SAN ANTONIO, TX 78240-1320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207443
TX
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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