Individual
CLARISSA IDROGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1220 N MALINCHE AVE, LAREDO, TX 78043-3354
(956) 722-2431
(956) 722-7553
Mailing address
1232 SAINT PATRICK DR, LAREDO, TX 78045-7593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116904
TX
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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