Individual
LARA GIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 MONTANA AVE STE GANDH, EL PASO, TX 79925-2155
(915) 838-7604
(866) 218-8230
Mailing address
6601 MONTANA AVE STE GANDH, EL PASO, TX 79925-2155
(915) 838-7604
(866) 218-8230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119938
TX
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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