Individual
KARLA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3330 ROCKDALE DR, PORTER, TX 77365-8522
(936) 615-5601
Mailing address
PO BOX 592, GARRISON, TX 75946-0592
(936) 615-5601
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215415
TX
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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