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Individual

MR. MARIO LERMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
2041 E MAIN ST, SUITE 100, ALICE, TX 78332-4158
(361) 668-0614
(361) 668-0042
Mailing address
2041 E MAIN ST, SUITE 100, ALICE, TX 78332-4158
(361) 668-0614
(361) 668-0042

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209775
TX

Other

Enumeration date
08/31/2010
Last updated
08/31/2010
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