Individual
MRS. GAIL ANNETTE MIRAVITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4214 E SOUTHCROSS BLVD, SAN ANTONIO, TX 78222-3723
(210) 590-7412
(210) 590-2343
Mailing address
301 APACHE LDG, CIBOLO, TX 78108-4303
(210) 375-9850
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
112013
TX
Other
Enumeration date
03/18/2007
Last updated
07/08/2007
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