Individual
DYLAN HUMBERTO SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
711 LUCAS DR, ATHENS, TX 75751-3445
(903) 765-8538
Mailing address
224 DEAN ST, ATHENS, TX 75751-2417
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214296
TX
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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