Individual
SAMANTHA URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 CENTRAL PKWY S, SAN ANTONIO, TX 78232-5021
(210) 798-2273
(210) 495-1479
Mailing address
9811 COPPER RISE, CONVERSE, TX 78109-4667
(210) 475-1263
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
TX
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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