Individual
MR. JERRY J HIRACHETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2404 YONKERS ST, STE 11, PLAINVIEW, TX 79072-1820
(806) 296-2444
(806) 296-9709
Mailing address
5219 CITY BANK PKWY, STE 35, LUBBOCK, TX 79407-3544
(806) 785-7676
(806) 785-7685
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109569
TX
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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