Individual
MS. HAILEY MIRANDA HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6211 S NEW BRAUNFELS AVE, SAN ANTONIO, TX 78223-3175
(210) 531-0569
(210) 531-0584
Mailing address
9551 VALLEY DALE ST, SAN ANTONIO, TX 78250-3972
(210) 630-9494
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214675
TX
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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