Individual
ROSELYN MARIE LAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E MAIN ST, ALICE, TX 78332-4969
(956) 233-4111
Mailing address
400 E MAIN ST, ALICE, TX 78332-4969
(361) 396-4029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216377
TX
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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