Individual
MS. THALIA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
(210) 599-3105
Mailing address
6942 SAHARASTONE DR, CONVERSE, TX 78109-3473
(210) 788-3289
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209787
TX
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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