Individual
TRUDI DIANE PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOT
Contact information
Practice address
7007 N 10TH ST, MCALLEN, TX 78504-3104
(956) 661-0475
Mailing address
317 LARK AVE, MCALLEN, TX 78504-2017
(956) 687-4822
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
104062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180186201
—
TX
Enumeration date
03/26/2007
Last updated
04/12/2017
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