Individual
LISA NINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10609 W IH 10 STE 105, SAN ANTONIO, TX 78230-1673
(210) 344-5437
(210) 340-1259
Mailing address
10609 W IH 10 STE 105, SAN ANTONIO, TX 78230-1673
(210) 344-5437
(210) 340-1259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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