Individual
DEANNA K SEELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6870 HEUERMANN RD, SAN ANTONIO, TX 78256-9605
(512) 417-2586
Mailing address
5206 LA POSITA ST, SAN ANTONIO, TX 78233-5845
(512) 417-2586
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
216759
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
NOTHING
—
Enumeration date
07/01/2021
Last updated
07/01/2021
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