Individual ProviderMicaela J PedrazaOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404(210) 617-5300(830) 647-8933PECOS EnrollmentBased on the most recent information from CMS, provider Micaela J Pedraza 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 ID1447362116Provider TypeIndividualFull NamePedraza, Micaela JCredentialOTRGenderFemaleSole ProprietorNoEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address7400 Merton Minter St, San Antonio, TX 78229-4404Phone(210) 617-5300FaxUnlisted FaxMailing LocationMailing Address1735 Old Marion Rd, New Braunfels, TX 78130-1207Phone(830) 647-8933FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense104175Texas