Provider Demographics
NPI:1124765912
Name:BELTRAN, SABRINA JASMIN (OT)
Entity type:Individual
Prefix:
First Name:SABRINA
Middle Name:JASMIN
Last Name:BELTRAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 WATERS AVE
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-6560
Mailing Address - Country:US
Mailing Address - Phone:210-801-6944
Mailing Address - Fax:
Practice Address - Street 1:2130 NE LOOP 410 STE 212
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-4662
Practice Address - Country:US
Practice Address - Phone:210-656-5848
Practice Address - Fax:210-656-5847
Is Sole Proprietor?:No
Enumeration Date:2022-05-13
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121342225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist