Organization
INNOVATIVE OCCUPATIONAL THERAPY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI SUE GARCIA (OFFICE MANAGER)
(956) 765-1277
Entity
Organization
Contact information
Practice address
2113 N. HWY 83, ZAPATA, TX 78076
(956) 765-1277
(956) 765-5339
Mailing address
PO BOX 14892, ZAPATA, TX 78076-4892
(956) 765-1277
(956) 765-5339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105936
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00493E
BCBS GROUP PROVIDER #
TX
05
—
080687901
—
TX
Enumeration date
11/13/2006
Last updated
05/02/2008
Update your record
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