Individual
JOHN TENGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
130 SPENCER LN, SAN ANTONIO, TX 78201-2109
(210) 733-9363
(210) 733-9383
Mailing address
9898 COLONNADE BLVD APT 11204, SAN ANTONIO, TX 78230-2277
(210) 641-7911
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111065
TX
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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