Individual
MR. ANIBAL G SCUADRONI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
107 E ROGERS ST, GANADO, TX 77962-8420
(361) 771-3315
Mailing address
1901 WATERSIDE VILLAGE DR APT 128, RICHMOND, TX 77407-6914
(845) 597-5479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216807
TX
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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