Individual
MRS. MANDY LEE DILLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11222 WHISPER FALLS ST, SAN ANTONIO, TX 78230-3538
(210) 592-7635
Mailing address
11222 WHISPER FALLS ST, SAN ANTONIO, TX 78230-3538
(210) 592-7635
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
112617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112617
OT LICENSE
TX
Enumeration date
05/08/2006
Last updated
10/16/2008
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