Individual ProviderSophia Julie-Ann SantiagoOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3463 Magic Dr, Suite 255, San Antonio, TX 78229-2973(210) 582-5840PECOS EnrollmentBased on the most recent information from CMS, provider Sophia Julie-Ann Santiago 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 ID1396028833Provider TypeIndividualFull NameSantiago, Sophia Julie-AnnCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date9/21/2011Last Updated7/6/2012Contact InformationPractice LocationPractice Address3463 Magic Dr, Suite 255, San Antonio, TX 78229-2973Phone(210) 582-5840Fax(210) 582-5841Mailing LocationMailing Address3463 Magic Dr, Suite 255, San Antonio, TX 78229-2973Phone(210) 582-5840Fax(210) 582-5841Provider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense113080Texas