Individual
GRACIELA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1403 N SEYMOUR AVE, LAREDO, TX 78040-8752
(956) 316-2224
(956) 316-1717
Mailing address
1403 N SEYMOUR AVE, LAREDO, TX 78040-8752
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113018
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1714362-01
—
TX
Enumeration date
01/22/2010
Last updated
02/03/2010
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