IndividualActive
Andrea Carruth, OTR
NPI 1548788003 · Pediatric Occupational Therapist · San Antonio, TX
Provider details
- NPI number
- 1548788003
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- License
- 0119007442 (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4502 Medical Dr
San Antonio, TX 78229-4402
Phone: (210) 386-0431
Approximate (ZIP-level) locationGet directions
Mailing address
1111 N Stafford St.
Arlington, VA 22201
Registry dates
- Enumerated
- 2017-09-05
- Last updated
- 2017-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.