MEDICARE: HELEN FELICIA KONDURIS MOTR CHT

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
1	225XH1200X	Hand Occupational Therapist	108854	TX

General Provider Information

NPI Number	:	1962649665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN FELICIA KONDURIS MOTR CHT

Provider Business Mailing Address
First Line	:	14439 NW MILITARY HWY STE 108
Second Line	:
City	:	SHAVANO PARK
State	:	TX
Zip	:	78231-1648
Country	:	US
Telephone Number	:	210-976-1130
Fax Number	:

Provider Business Practice Location Address
First Line	:	818 KNIGHTS CROSS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78258-2982
Country	:	US
Telephone Number	:	210-557-8218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2009
Last Update Date	:	02/03/2025

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