Individual
JACOB SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 CIMARRON BLVD, CORPUS CHRISTI, TX 78414-3431
(866) 770-1863
Mailing address
380 WOODLAWN ST, SINTON, TX 78387-3230
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110925
TX
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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