Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 209244 | TX |
NPI | 1013114958 |
---|---|
Provider Name | Mrs. Sonia Garcia |
First Address | Edinburg, TX 78539-3522 |
Second Address | Mcallen, TX 78504-3288 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2007 |
Last Update Date | 09/07/2007 |