Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant |
NPI | 1013416767 |
---|---|
Provider Name | Megan Sendejo |
First Address | San Antonio, TX 78230-1672 |
Second Address | San Antonio, TX 78230-1672 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2018 |
Last Update Date | 17/03/2018 |