Individual
LETICIA DE LA TORRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3540 COUNTY ROAD 182, GARRISON, TX 75946-5662
(936) 221-9688
Mailing address
3540 COUNTY ROAD 182, GARRISON, TX 75946-5662
(936) 221-9688
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215291
TX
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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