Individual
ANGELA MORALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1212 S BRIDGE AVE, WESLACO, TX 78596-7906
(956) 969-3131
Mailing address
1212 S BRIDGE AVE, WESLACO, TX 78596-7906
(956) 969-3131
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208587
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208587
OTA LICENCE
TX
Enumeration date
08/17/2018
Last updated
08/17/2018
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