Individual
CLARISA ESMERALDA GARCIA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3013 E MAIN AVE STE E, ALTON, TX 78573-0932
(956) 581-7200
(956) 581-7201
Mailing address
3013 E MAIN AVE STE E, ALTON, TX 78573-0932
(956) 581-7200
(956) 581-7201
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214698
TX
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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