Rae Therapy | |
5214 Seashore Blvd San Antonio TX 78245-3920 | |
(210) 833-5566 | |
Not Available |
Full Name | Rae Therapy |
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Speciality | Social Worker |
Location | 5214 Seashore Blvd, San Antonio, Texas |
Authorized Official Name and Position | Amanda Reyes (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 2108335566 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rae Therapy 5214 Seashore Blvd San Antonio TX 78245-3920 Ph: (210) 833-5566 | Rae Therapy 5214 Seashore Blvd San Antonio TX 78245-3920 Ph: (210) 833-5566 |
NPI Number | 1033820303 |
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Provider Enumeration Date | 12/07/2022 |
Last Update Date | 03/20/2023 |
Certification Date | 03/20/2023 |
Medicare PECOS PAC ID | 2769857341 |
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Medicare Enrollment ID | O20230413000058 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033820303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amanda R Reyes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760022081 PECOS PAC ID: 5496160046 Enrollment ID: I20210212001833 |
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