Individual
JENNIFER MARIE MAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
9510 SEKULA DR, SAN ANTONIO, TX 78250-6911
(210) 617-5300
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
247200000X
Other Technician
—
—
Other
Enumeration date
10/10/2006
Last updated
05/23/2008
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