Individual
LORI GONZALEZ VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
(956) 627-2717
Mailing address
2715 CORNERSTONE BLVD, EDINBURG, TX 78539-8464
(956) 246-7447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210009
TX
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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