Individual
MARISA V. MACHADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3935 MEDICAL DR, SAN ANTONIO, TX 78229-2102
(210) 614-4888
Mailing address
27123 RUSTIC HORSE, SAN ANTONIO, TX 78260-2522
(210) 833-8129
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212232
TX
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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