Individual
LORRAINE MARIE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3615 LULA ST, EDINBURG, TX 78539-6454
(956) 314-1208
Mailing address
3615 LULA ST, EDINBURG, TX 78539-6454
(956) 314-1208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115619
TX
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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