Individual
JONANTHONY JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
501 OGDEN LN, SAN ANTONIO, TX 78209-5142
(210) 225-4588
Mailing address
10423 LUPINE CYN, HELOTES, TX 78023-3623
(210) 501-8584
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119977
TX
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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