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NPI Code Detail

MEDICARE: MS. MARY ROSALES

MEDICARE: MS. MARY ROSALES
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
1172V00000XCommunity Health Worker105794TX
2225XF0002XFeeding, Eating & Swallowing Occupational Therapist105794TX
3225X00000XOccupational Therapist105794TX

General Provider Information

NPI Number : 1891172599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY ROSALES
Provider Business Mailing Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number :
Provider Business Practice Location Address
First Line : 502 E RAMSEY RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78216-4639
Country : US
Telephone Number : 210-490-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2015
Last Update Date : 09/26/2024

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Directions to “ MS. MARY ROSALES ” Practice Location

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