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Organization
OAFERINA PROFESSIONAL CORP.
Active
Organization
OAFERINA PROFESSIONAL CORP.
Active
Other names
ALTA VISTA WELLNESS CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALETH OAFERINA SR. PT (PRESIDENT)
(956) 791-8235
Entity
Organization
Contact information
Practice address
414 SHILOH DR UNIT 9, LAREDO, TX 78045-6745
(956) 791-8235
(956) 791-8239
Mailing address
PO BOX 451267, LAREDO, TX 78045-0031
(956) 791-8235
(956) 791-8239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1076438
TX
225X00000X
Occupational Therapist
108458
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174055701
—
TX
Enumeration date
03/05/2007
Last updated
05/06/2010
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