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Individual

MS. JESSICA MARIE VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1101 E SCHUSTER AVE, EL PASO, TX 79902-4659
(915) 544-8484
(915) 496-0751
Mailing address
12038 VILLAGE GATE DR, EL PASO, TX 79936-5592
(915) 781-9268
(915) 496-0751

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214954
TX

Other

Enumeration date
01/16/2018
Last updated
01/16/2018
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