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1013250877
JOHANNA L. VIDOLA
SAN ANTONIO, TX
NPI
1013250877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 110580)
Enumeration Date
2013-03-30
Last Update Date
2015-05-27
Business Address
JOHANNA L. VIDOLA
4647 MEDICAL DR
SAN ANTONIO, TX 78229-4403
Phone number: 210-358-2710
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Mailing Address
JOHANNA L. VIDOLA
PO BOX 87
SAN ANTONIO, TX 78291-0087
Phone number: 210-358-9172
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