Individual
LOYDA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
(210) 297-8195
Mailing address
111 DALLAS ST, SAN ANTONIO, TX 78205-1201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209328
TX
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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