Individual
KACI CAVALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16400 BLANCO RD, SAN ANTONIO, TX 78232-1902
(210) 572-4954
Mailing address
19715 ENCINO GLEN ST, SAN ANTONIO, TX 78259-2315
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123769
TX
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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