Individual ProviderStephanie SalazarOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4647 Medical Dr, San Antonio, TX 78229-4403(210) 358-2710(210) 358-9500PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Salazar 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 ID1215404660Provider TypeIndividualFull NameSalazar, StephanieGenderFemaleSole ProprietorNoEnumeration Date10/24/2018Last Updated10/24/2018Contact InformationPractice LocationPractice Address4647 Medical Dr, San Antonio, TX 78229-4403Phone(210) 358-2710Fax(210) 358-4739Mailing LocationMailing AddressPO Box 87, San Antonio, TX 78291-0087Phone(210) 358-9500Fax(210) 358-9183Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense118177Texas