Individual
MR. DOUGLAS ETCHISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5756 N KNOLL, SAN ANTONIO, TX 78240-2238
(210) 321-5200
Mailing address
1847 BABCOCK RD APT 1403, SAN ANTONIO, TX 78229-4659
(210) 887-8870
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209894
TX
Other
Enumeration date
09/28/2018
Last updated
11/27/2018
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