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Individual

SANDRA LETICIA MACIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5101 MEDICAL DRIVE, SAN ANTONIO, TX 78229-4801
(210) 616-0100
(210) 592-5491
Mailing address
5101 MEDICAL DRIVE, SAN ANTONIO, TX 78229-4801
(210) 616-0100
(210) 592-5491

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209867
TX

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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