Provider Demographics
NPI:1447890058
Name:CLAYMAN, GENNA ELIZABETH
Entity type:Individual
Prefix:
First Name:GENNA
Middle Name:ELIZABETH
Last Name:CLAYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12105 STATE HIGHWAY 151 APT 9306
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-4578
Mailing Address - Country:US
Mailing Address - Phone:484-523-7222
Mailing Address - Fax:
Practice Address - Street 1:11349 ALAMO RANCH PKWY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-6485
Practice Address - Country:US
Practice Address - Phone:830-460-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119562225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist