Healthcare Provider Details

I. General information

NPI: 1346366184
Provider Name (Legal Business Name): HAND REHABILITATION ASSOCIATES OF SAN ANTONIO, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5441 BABCOCK RD SUITE 103
SAN ANTONIO TX
78240-3993
US

IV. Provider business mailing address

5441 BABCOCK RD SUITE 103
SAN ANTONIO TX
78240-3993
US

V. Phone/Fax

Practice location:
  • Phone: 210-558-4263
  • Fax:
Mailing address:
  • Phone: 210-558-4263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number508510000
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number604120000
License Number StateTX

VIII. Authorized Official

Name: SYLVIA A DAVILA
Title or Position: PRESIDENT CEO
Credential: PT CHT
Phone: 210-558-4263