Individual
MISS GISELA GUADALUPE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12770 COIT RD STE 870, DALLAS, TX 75251-1455
(972) 756-0500
Mailing address
12770 COIT RD STE 870, DALLAS, TX 75251-1455
(972) 756-0500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216983
TX
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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