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Individual
LETICIA TRISTAN
Active
Individual
LETICIA TRISTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
211787
TX
225X00000X
Occupational Therapist
Primary
123515
TX
Other
Enumeration date
07/16/2014
Last updated
08/21/2024
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