Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY J FORMANEK, COTA
ActiveKELLY J FORMANEK, COTA is a Occupational Therapy Assistant healthcare provider located in SAN ANTONIO, Texas. NPI 1326069352 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1326069352
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2006 (20.267486649365 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
4415 RIO D OROSAN ANTONIO, TX, 782336748Browse TX providers · Browse ZIP 78233
- Phone
- 2106513339
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in SAN ANTONIO, TX
| Name | Credential | NPI |
|---|---|---|
| RICHARD R PEDRAZA | — | 1922020254 |
| MS. SANDRA ELSA GIDDENS | COTA | 1295837458 |
| ADA L. JACKSON | COTA | 1093878969 |
| BERTHA RENDON | COTA | 1699802850 |
| MRS. REBECCA SUZANNE ELLIS | C.O.T.A. | 1700900735 |
| TARA KIMBALL | — | 1508980822 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.