Individual
ENRIQUE ARMANDO OLIVAS-GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1575 BELVIDERE ST, EL PASO, TX 79912-2649
(915) 833-2229
Mailing address
6811 DELTA DR SPC 211NA, EL PASO, TX 79905-5515
(915) 222-4153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214397
TX
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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