Individual
IRIS ANNETTE DOVALINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1812 MILLER AVE, MISSION, TX 78572-2954
(956) 929-3557
Mailing address
1812 MILLER AVE, MISSION, TX 78572-2954
(956) 929-3557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206574
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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