Individual
GERONIMO SANTOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
400 CONCORD PLAZA DR, SUITE 300, SAN ANTONIO, TX 78216-6905
(210) 804-5400
(210) 678-4142
Mailing address
400 CONCORD PLAZA DR, STE 300, SAN ANTONIO, TX 78216-6991
(210) 804-5400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110798
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110798
STATE LICENSE
TX
Enumeration date
01/30/2008
Last updated
07/21/2017
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