Individual
MARTIN TIENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1100 GALVESTON ST, LAREDO, TX 78040-8741
(956) 723-2068
Mailing address
1100 GALVESTON ST, LAREDO, TX 78040-8741
(956) 723-2068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210881
TX
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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