Individual
JESSICA LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1011 W FRONTAGE RD STE J, ALAMO, TX 78516-2320
(956) 787-6777
Mailing address
1011 W FRONTAGE RD STE J, ALAMO, TX 78516-2320
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214124
TX
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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