Individual
SONIA G. OLIVAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 W GRIFFIN PKWY, MISSION, TX 78572-7305
(956) 583-8876
Mailing address
1700 W GRIFFIN PKWY, MISSION, TX 78572-7305
(956) 583-8876
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208791
TX
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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