Individual
DIANA A IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 S AIRPORT DR STE B, WESLACO, TX 78596-6650
(956) 375-2045
(956) 375-2046
Mailing address
2904 S JACKSON RD, MCALLEN, TX 78503-1870
(956) 631-8646
(956) 631-8650
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210017
TX
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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