Individual
KAREN AZUCENA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12000 NETWORK BLVD # 105A, SAN ANTONIO, TX 78249-3344
(915) 444-0945
Mailing address
4162 JUDIVAN, SAN ANTONIO, TX 78218-3439
(210) 574-5458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217995
TX
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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