Individual provider · Type 1 NPI

Mary Louise Ducharme, OTR

Military Health Care Provider · San Antonio, TX

NPI number 1801160577 Active

Practice location

5441 Babcock Rd, Ste. 200
San Antonio, TX 78240-3993

Call (210) 615-1117 Map

Fax (210) 253-3830

Mailing address

383 Palm Ave, Apt #N
Imperial Beach, CA 91932-1136

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X11244 (CA)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1801160577

Mary Louise Ducharme, OTR's National Provider Identifier is 1801160577, issued on Feb 28, 2012. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Antonio, TX. The record was last updated on Feb 28, 2012.