Individual
XOCHITL DE AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3018 ROMAN PL, SAN ANTONIO, TX 78230-4572
(210) 705-4426
Mailing address
3018 ROMAN PL, SAN ANTONIO, TX 78230-4572
(210) 705-4426
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211374
TX
390200000X
Student in an Organized Health Care Education/Training Program
94028168
CA
Other
Enumeration date
08/29/2018
Last updated
05/01/2025
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