Individual
JESSICA ANNA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1200 S BRYAN RD, MISSION, TX 78572-6840
(855) 687-8282
Mailing address
611 VIENTO TROPICAL ST, MISSION, TX 78572-8226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210233
TX
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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