Individual
MRS. JANIE FONSECA DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1315 W. MAIN A, SUITE 11, ALTON, TX 78573-0000
(956) 580-1100
(956) 580-1138
Mailing address
3415 KNIGHT AVE, EDINBURG, TX 78539-0000
(956) 929-1684
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112032
TX
Other
Enumeration date
01/20/2009
Last updated
01/20/2015
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