Provider Demographics
NPI:1407521198
Name:RODRIGUEZ-CHAPA, AIMEE CATHLEEN (COTA)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:CATHLEEN
Last Name:RODRIGUEZ-CHAPA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 TIMBER GRAND
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-4250
Mailing Address - Country:US
Mailing Address - Phone:210-247-8496
Mailing Address - Fax:
Practice Address - Street 1:8201 TIMBER GRAND
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-4250
Practice Address - Country:US
Practice Address - Phone:210-247-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX216979224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant