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NPI Code Detail

MEDICARE: SANDRA ELIZABETH NABIH

MEDICARE: SANDRA ELIZABETH NABIH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant216153TX

General Provider Information

NPI Number : 1669127288
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA ELIZABETH NABIH
Provider Business Mailing Address
First Line : 13118 LARKYORKE ST
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78233-5025
Country : US
Telephone Number : 210-216-5744
Fax Number :
Provider Business Practice Location Address
First Line : 7700 MESQUITE PASS
Second Line :
City : CONVERSE
State : TX
Zip : 78109-2461
Country : US
Telephone Number : 210-650-0551
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 02/14/2022

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Directions to “ SANDRA ELIZABETH NABIH ” Practice Location

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