Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 209868 | TX |
NPI | 1013183029 |
---|---|
Provider Name | Miguel A. Sanchez JR. |
First Address | Laredo, TX 78046-5713 |
Second Address | Laredo, TX 78043-4725 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2008 |
Last Update Date | 25/03/2015 |