Individual
JESSA MAE SILMARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7600 W INTERSTATE HIGHWAY 2 STE 4AND 5, MISSION, TX 78572-2063
(956) 581-7171
(956) 581-7178
Mailing address
2202 VANCOUVER AVE, EDINBURG, TX 78539-0185
(956) 432-1784
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2104250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38817292
DRIVER'S LICENSE
TX
Enumeration date
08/27/2018
Last updated
08/27/2018
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