Individual
SABRINA STEPHANIE VIDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9903 HUNTERS POND, SAN ANTONIO, TX 78224
(210) 477-2200
Mailing address
8618 LUDLOW CV, CONVERSE, TX 78109-3672
(210) 396-1496
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214720
TX
Other
Enumeration date
08/27/2018
Last updated
08/28/2018
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