Individual
ANGEL R YBARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114745
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114745
STATE BOARD OF EXAMINERS FOR OCCUPATIONAL THERAPY
TX
Enumeration date
03/20/2012
Last updated
07/24/2012
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