Provider Demographics
NPI:1710389697
Name:ARTZ, DANA (OTR)
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:
Last Name:ARTZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4600 LOCKHILL SELMA RD
Mailing Address - Street 2:STE 101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2185
Mailing Address - Country:US
Mailing Address - Phone:210-408-7300
Mailing Address - Fax:210-408-7303
Practice Address - Street 1:4600 LOCKHILL SELMA RD
Practice Address - Street 2:STE 101
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2185
Practice Address - Country:US
Practice Address - Phone:210-408-7300
Practice Address - Fax:210-408-7303
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115488225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist