Individual
MRS. MELISSA M. CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
503 W OCEAN BLVD, LOS FRESNOS, TX 78566-3635
(956) 797-2100
(956) 797-0000
Mailing address
PO BOX 1965, LA FERIA, TX 78559-1965
(956) 797-2100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208785
TX
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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