Individual
JAIME M ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
602 BABCOCK RD, SAN ANTONIO, TX 78201-3158
(210) 731-1012
Mailing address
4946 WINTER CHERRY, SAN ANTONIO, TX 78245-3715
(210) 602-9555
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211114
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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