Individual
MARIBEL AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
10073 MANITOBA ST, EL PASO, TX 79924-4134
(915) 781-3724
Mailing address
10073 MANITOBA ST, EL PASO, TX 79924-4134
(915) 781-3724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216417
TX
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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