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Jeffrey Michael McCardle

Occupational Therapy Assistant in San Antonio, TX. Individual provider (NPI-1).

NPI number1760645378
StatusActive
Last updated in NPPESJul 3, 2008

Details

NPI
1760645378
Entity type
Individual (NPI-1)
Name
Jeffrey Michael McCardle
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 3, 2008
Last updated
Jul 3, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant210173TXYes

Practice location

15600 San Pedro Ave
San Antonio, TX 78232-3740

Phone 210-494-2343

Mailing address

15600 San Pedro Ave
San Antonio, TX 78232-3740

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