Individual
EDIEL IVAN BARRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2109 S K ST, MCALLEN, TX 78503-5689
(956) 686-9100
Mailing address
3912 LORI MORGAN DR, EDINBURG, TX 78541-4853
(956) 500-3841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116864
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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