Provider Demographics
NPI:1912306531
Name:YANEZ, VANESSA MONIQUE (OTR/L)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MONIQUE
Last Name:YANEZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 17411
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-0411
Mailing Address - Country:US
Mailing Address - Phone:210-390-1795
Mailing Address - Fax:855-702-2527
Practice Address - Street 1:327 W. SUNSET RD., #1303
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-4510
Practice Address - Country:US
Practice Address - Phone:210-390-1795
Practice Address - Fax:855-702-2527
Is Sole Proprietor?:No
Enumeration Date:2014-08-20
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics