Individual
DORA A JAIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
108 N LUPE, RIO GRANDE CITY, TX 78582-9552
(956) 485-9695
Mailing address
108 N LUPE, RIO GRANDE CITY, TX 78582-9552
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123685
TX
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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