Individual
EDDY ROBERTO ALVAREZ SERRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
630 S 19TH ST, SLATON, TX 79364-4714
(806) 828-7177
Mailing address
24945 SW 119TH AVE, HOMESTEAD, FL 33032-4319
(305) 495-7429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215573
TX
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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