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Kelly Formanek, COTA
NPI 1326069352 · on the registry since 2006
Practice
- Address
- 4415 Rio D Oro
San Antonio, TX 78233 - Phone
- (210) 651-3339
- Organisation at this address
- Esc Iii Lp
The Weston Group, Inc.
Emerichip San Antonio Ao, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas