Organization
BRIDGING THE GAP PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY KATHLEEN OROSCO OTR (OCCUPATIONAL THERAPIST)
(210) 317-6460
Entity
Organization
Contact information
Practice address
7646 UMBRA HTS, SAN ANTONIO, TX 78252-2256
(210) 317-6460
Mailing address
7646 UMBRA HTS, SAN ANTONIO, TX 78252-2256
(210) 317-6460
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
110793
TX
2355S0801X
Speech-Language Assistant
02995336
TX
Other
Enumeration date
01/20/2012
Last updated
01/24/2012
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