Individual
MIGUEL ANDRES DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.T.A.
Contact information
Practice address
1600 WICKERSHAM LANE, APT. 1046, AUSTIN, TX 78741
(956) 639-8734
Mailing address
1600 WICKERSHAM LANE, APT. 1046, AUSTIN, TX 78741
(956) 639-8734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213145
TX
Other
Enumeration date
04/13/2015
Last updated
04/13/2015
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