Individual
MRS. KATHRYN R VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
625 N MAIN ST, BOERNE, TX 78006-1621
(830) 249-3085
Mailing address
28880 WATERVIEW DR, BOERNE, TX 78006-5328
(512) 636-9522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113186
TX
Other
Enumeration date
12/21/2014
Last updated
12/21/2014
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