Individual
MRS. MARIA LYDIA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4605 N JACKSON RD # RC, MCALLEN, TX 78504-6100
(956) 631-3209
Mailing address
5850 FM 802, STE. F6, BROWNSVILLE, TX 78522
(956) 554-0006
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210026
TX
Other
Enumeration date
09/16/2009
Last updated
08/17/2018
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