Individual
EDNA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1110 S STEWART RD STE D, SAN JUAN, TX 78589-5168
(956) 283-7555
(956) 283-7557
Mailing address
509 N 7TH ST, MCALLEN, TX 78501-2696
(956) 212-0328
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212279
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212279
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
02/21/2018
Last updated
02/21/2018
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