Individual
ALICIA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
35 BUSINESS DR, BROWNSVILLE, TX 78521-4499
(956) 545-8379
Mailing address
33354 FALCON LN, SAN BENITO, TX 78586-8431
(956) 266-4499
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212172
OTA
TX
Enumeration date
03/24/2014
Last updated
03/24/2014
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