Individual
SAMANTHA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Mailing address
12258 LEMON BLOSSOM, SAN ANTONIO, TX 78247-4249
(210) 540-9871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214023
TX
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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