Individual
MR. ALFONSO OCAMPO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
406 S MAIN ST, WINNSBORO, TX 75494-3226
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2133050
TX
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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