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Individual

DANA TREVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2115 PLEASANTON RD STE 203, SAN ANTONIO, TX 78221-1300
(210) 924-2115
Mailing address
400 E GUENTHER ST UNIT 1203, SAN ANTONIO, TX 78210-1696

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111265
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
111265
TEXAS STATE BOARD OF OTR
TX
Enumeration date
04/13/2007
Last updated
07/08/2007
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