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Individual

STEPHEN BERNAL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9514 CONSOLE DR STE 102, SAN ANTONIO, TX 78229-2042
(210) 448-9111
Mailing address
5415 LOST LN, SAN ANTONIO, TX 78238-2754
(210) 448-9111

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209834
TX

Other

Enumeration date
03/26/2007
Last updated
12/14/2017
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