Provider Demographics
NPI:1003795931
Name:INTENTION OCCUPATIONAL THERAPY & WELLNESS PLLC
Entity type:Organization
Organization Name:INTENTION OCCUPATIONAL THERAPY & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:OTD
Authorized Official - Phone:318-344-7088
Mailing Address - Street 1:15083 SAN PEDRO AVE APT 9101
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1138
Mailing Address - Country:US
Mailing Address - Phone:318-344-7088
Mailing Address - Fax:
Practice Address - Street 1:15083 SAN PEDRO AVE APT 9101
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1138
Practice Address - Country:US
Practice Address - Phone:318-344-7088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty