Individual
GINA WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
18803 HARDY OAK BLVD, SAN ANTONIO, TX 78258-4961
(210) 982-4600
Mailing address
2848 S SANTA CLARA RD, MARION, TX 78124-4046
(210) 412-5483
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102987
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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