Individual
IVANA DENISE SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4100 JACKSON AVE, AUSTIN, TX 78731-6056
(512) 454-4711
Mailing address
11008 ROVING PASS, ELGIN, TX 78621-2419
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218063
TX
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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