Individual
HIRAM JAIR CORONA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
327 W. SUNSET RD #1303, SAN ANTONIO, TX 78209
(210) 390-1795
Mailing address
PO BOX 17411, SAN ANTONIO, TX 78217-0411
(210) 390-1795
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120037
TX
Other
Enumeration date
05/05/2011
Last updated
07/03/2022
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