Individual
JAYLIN KASSANDRA AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
912 E NOLANA LOOP, PHARR, TX 78577-5838
(956) 299-3906
Mailing address
908 SAN MARTIN ST, SAN JUAN, TX 78589-4075
(956) 429-2966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215316
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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