Individual
MS. GLADYS ELVIRA TORRES DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Mailing address
4207 GARDENDALE ST STE 104B, SAN ANTONIO, TX 78229-3142
(210) 582-5840
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217274
TX
Other
Enumeration date
04/10/2022
Last updated
04/10/2022
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