Individual
MISS LEA CLOMERA ANACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 E MARTIN LUTHER KING JR BLVD, AUSTIN, TX 78702-1342
(512) 900-7934
Mailing address
6425 TAHOE DR, BEAUMONT, TX 77708-1228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118059
TX
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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