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Individual
MRS. ROSA F. ESCOBEDO
Active
Individual
MRS. ROSA F. ESCOBEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111748
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
143404501
—
TX
01
—
742965954
FACILITY TAX ID NO.
TX
Enumeration date
12/05/2006
Last updated
11/17/2022
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