Individual
VINCENT V GUEVARA-VILLAMARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2355 LEBANON RD APT 12107, FRISCO, TX 75034-6146
(973) 856-1588
Mailing address
2355 LEBANON RD APT 12107, FRISCO, TX 75034-6146
(973) 856-1588
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215737
TX
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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