KELLY FORMANEK, COTA

Occupational Therapy Assistant

Active Individual
NPI: 1326069352

Practice Address

4415 RIO D ORO
San Antonio, TX 78233

Phone: (210) 651-3339

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes -

Frequently Asked Questions

NPI 1326069352 is the National Provider Identifier for KELLY FORMANEK, COTA, a Occupational Therapy Assistant provider located in San Antonio, TX. This NPI was enumerated on July 23, 2006.
KELLY FORMANEK, COTA practices at 4415 RIO D ORO, San Antonio, TX 78233.

Quick Facts

NPI
1326069352
Type
Individual
Enumerated
Jul 23, 2006
Last Updated
Jul 8, 2007

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