Individual
JENNIFER VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 STARR ST STE 2, MERCEDES, TX 78570-2736
(956) 541-1551
Mailing address
PO BOX 1136, MERCEDES, TX 78570-1136
(956) 514-1551
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118333
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118333
STATE LICENSE
TX
Enumeration date
05/11/2017
Last updated
07/21/2022
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