Individual
ALYSHA RENE BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5001 LACEY CIR, SACHSE, TX 75048-3909
(915) 497-1280
Mailing address
5001 LACEY CIR, SACHSE, TX 75048-3909
(915) 497-1280
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217101
TX
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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