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Individual

RUDY TORRES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
140 NANAKULI DRIVE, BASTROP, TX 78602
(979) 525-6266
Mailing address
140 NANAKULI DR, BASTROP, TX 78602-7102
(979) 525-6266

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208860
TX

Other

Enumeration date
12/26/2014
Last updated
12/26/2014
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