Healthcare Provider Details

I. General information

NPI: 1669931549
Provider Name (Legal Business Name): PRANA HAND THERAPY AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 05/04/2022
Certification Date: 05/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 KNIGHTS CROSS DR
SAN ANTONIO TX
78258-2982
US

IV. Provider business mailing address

3402 MONT BLANC
SAN ANTONIO TX
78258-1622
US

V. Phone/Fax

Practice location:
  • Phone: 210-975-1130
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: HELEN KONDURIS
Title or Position: OWNER
Credential: OTR MOT CHT
Phone: 210-975-1183