Healthcare Provider Details

I. General information

NPI: 1053697490
Provider Name (Legal Business Name): PAIGE SETTLES STRODE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2011
Last Update Date: 07/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 N BEDELL AVE STE. B
DEL RIO TX
78840-8020
US

IV. Provider business mailing address

17 MEADOW LN
DEL RIO TX
78840-5686
US

V. Phone/Fax

Practice location:
  • Phone: 830-774-1556
  • Fax: 830-774-6150
Mailing address:
  • Phone: 830-774-1556
  • Fax: 830-774-6150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number106942
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: