Individual
MRS. ANNETTE RENEE FEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6601 BLANCO RD, SUITE 160, SAN ANTONIO, TX 78216-6102
(210) 525-8851
(210) 525-8854
Mailing address
15314 FALLEN GRV, SAN ANTONIO, TX 78247-2946
(210) 525-8851
(210) 525-8854
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108483
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051898-01
—
TX
05
—
0051898-02
—
TX
Enumeration date
11/01/2006
Last updated
06/19/2009
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