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Individual

MARTHA LAURA DEANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
6316 N 10TH ST, MCALLEN, TX 78504-3599
(956) 972-0404
Mailing address
8430 N 23RD LN, MCALLEN, TX 78504-6249
(956) 493-4593

Taxonomy

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

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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