Individual
MR. JOSE ALFREDO DE LA GARZA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
14111 VANCE JACKSON RD APT 4103, SAN ANTONIO, TX 78249-1982
(956) 792-5372
Mailing address
14111 VANCE JACKSON RD APT 4103, SAN ANTONIO, TX 78249-1982
(956) 792-5372
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
440309
TX
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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