Individual ProviderEnriko CabezuelaOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address8122 Datapoint Dr Ste 506, San Antonio, TX 78229-3272(210) 806-5372PECOS EnrollmentBased on the most recent information from CMS, provider Enriko Cabezuela does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1114783651Provider TypeIndividualFull NameCabezuela, EnrikoCredentialOTRGenderMaleSole ProprietorYesEnumeration Date2/22/2024Last Updated2/22/2024Contact InformationPractice LocationPractice Address8122 Datapoint Dr Ste 506, San Antonio, TX 78229-3272Phone(210) 806-5372FaxUnlisted FaxMailing LocationMailing Address8122 Datapoint Dr Ste 506, San Antonio, TX 78229-3272Phone(210) 806-5372FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense123467Texas