Individual
JULISSA REBECA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7109 N BARTLETT AVE., SUITE 109, LAREDO, TX 78041
(956) 727-2122
(956) 727-4445
Mailing address
7109 N BARTLETT AVE., SUITE 109, LAREDO, TX 78041
(956) 727-2122
(956) 727-4445
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2096625
TX
Other
Enumeration date
02/01/2019
Last updated
09/07/2020
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