Individual
JEANETTE MARIE TAPIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5000 BRAGG AVE, EL PASO, TX 79904-3406
(915) 887-9966
Mailing address
5000 BRAGG AVE, EL PASO, TX 79904-3406
(915) 887-9966
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216004
TX
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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