Healthcare Provider Details

I. General information

NPI: 1871990994
Provider Name (Legal Business Name): JOYCE HOWE OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/04/2014
Last Update Date: 04/11/2022
Certification Date: 04/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 S NEW BRAUNFELS AVE STE 100
SAN ANTONIO TX
78223-3002
US

IV. Provider business mailing address

6711 S NEW BRAUNFELS AVE
SAN ANTONIO TX
78223-3005
US

V. Phone/Fax

Practice location:
  • Phone: 210-532-8811
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number115466
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: