Individual
MABEL DENISE LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10839 QUARRY PARK, SAN ANTONIO, TX 78233-4681
(210) 257-6260
Mailing address
10839 QUARRY PARK, SAN ANTONIO, TX 78233-4681
(210) 257-6260
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213744
TX
Other
Enumeration date
07/19/2018
Last updated
03/14/2024
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