Individual
JANETTE ANSORGE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3851 ROGER BROOKE DR, MCHE-QD (CREDS), FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
13031 PARK XING, SAN ANTONIO, TX 78217-1678
(269) 908-0823
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111545
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111545
LICENSE NUMBER
TX
Enumeration date
03/17/2006
Last updated
07/08/2007
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