Individual
JORGE ALBERTO DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
400 E QUINCY ST, SAN ANTONIO, TX 78215-1934
(210) 472-0211
Mailing address
400 E QUINCY ST, SAN ANTONIO, TX 78215-1934
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208829
TX
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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