MEDICARE: AMANDA VARNER OTD, OTR

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	225X00000X	Occupational Therapist	125415	TX

General Provider Information

NPI Number	:	1245024801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA VARNER OTD, OTR

Provider Business Mailing Address
First Line	:	2130 NE INTERSTATE 410 LOOP
Second Line	:	#212
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2130 NE INTERSTATE 410 LOOP
Second Line	:	#212
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217
Country	:	US
Telephone Number	:	210-656-5848
Fax Number	:

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

Provider Enumeration Date	:	04/08/2025
Last Update Date	:	02/20/2026

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