Provider Demographics
NPI:1447453576
Name:JALOWAY, NORA HILDA (OTR)
Entity type:Individual
Prefix:MRS
First Name:NORA
Middle Name:HILDA
Last Name:JALOWAY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 OAKCREST DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:TX
Mailing Address - Zip Code:78064-3949
Mailing Address - Country:US
Mailing Address - Phone:830-281-2828
Mailing Address - Fax:
Practice Address - Street 1:9595 US HIGHWAY 87 E STE 104-105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78263-6106
Practice Address - Country:US
Practice Address - Phone:210-649-4900
Practice Address - Fax:210-649-4701
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106873225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1952228Medicaid