Individual
KATHRYN CUCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13114 WINDING CRK, SAN ANTONIO, TX 78231-2261
(210) 316-8955
Mailing address
13114 WINDING CRK, SAN ANTONIO, TX 78231-2261
(210) 316-8955
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
100846
TX
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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