Individual ProviderSamantha GonzalezOccupational 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 Samantha Gonzalez 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 ID1831901156Provider TypeIndividualFull NameGonzalez, SamanthaGenderFemaleSole ProprietorNoEnumeration Date1/23/2025Last Updated1/23/2025Contact InformationPractice LocationPractice Address9514 Console Dr Ste 102, San Antonio, TX 78229-2042Phone(210) 448-9111FaxUnlisted FaxMailing LocationMailing Address9514 Console Dr Ste 102, San Antonio, TX 78229-2042Phone(210) 448-9111FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer