Individual ProviderJennica Janise CanoOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9514 Console Dr Ste 102, San Antonio, TX 78229-2042(210) 448-9111PECOS EnrollmentBased on the most recent information from CMS, provider Jennica Janise Cano 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 ID1205650835Provider TypeIndividualFull NameCano, Jennica JaniseGenderFemaleSole ProprietorYesEnumeration Date11/11/2024Last Updated11/11/2024Contact InformationPractice LocationPractice Address9514 Console Dr Ste 102, San Antonio, TX 78229-2042Phone(210) 448-9111Fax(210) 308-9595Mailing LocationMailing Address9514 Console Dr Ste 102, San Antonio, TX 78229-2042PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense125151Texas