Individual
PALOMA VELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
940 YORK DR, DESOTO, TX 75115-2042
(972) 572-6200
Mailing address
1213 LINDHURST ST, IRVING, TX 75061-5416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215228
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
215228
TBOTE
TX
Enumeration date
08/24/2018
Last updated
08/24/2018
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