MEDICARE: MR. CRAIG ARTELL CAYA 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	106568	TX

General Provider Information

NPI Number	:	1720103567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CRAIG ARTELL CAYA OTR

Provider Business Mailing Address
First Line	:	3453 N PANAM EXPY STE 207B
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78219-2338
Country	:	US
Telephone Number	:	210-541-4500
Fax Number	:	210-349-3134

Provider Business Practice Location Address
First Line	:	7330 SAN PEDRO AVE STE 400
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78216-6234
Country	:	US
Telephone Number	:	210-541-4500
Fax Number	:	210-349-3134

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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