Individual
JOHN SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1145 ROSS ST STE E, SAN BENITO, TX 78586-4338
(956) 361-6000
(956) 361-6060
Mailing address
2901 HAINE DR APT 1007, HARLINGEN, TX 78550-7816
(956) 454-6803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120004
TX
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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