Individual
DENISE ANDREA HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10216 LUCKNOW RD, SOCORRO, TX 79927-5011
(915) 926-9112
Mailing address
10216 LUCKNOW RD, SOCORRO, TX 79927-5011
(915) 926-9112
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216002
TX
Other
Enumeration date
09/19/2021
Last updated
09/20/2021
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