Individual
MISS LAURA LIZETH VILLARREAL VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200; HURST, TX 76053, LAREDO, TX 76053
(817) 292-8787
(817) 789-6849
Mailing address
5910 SAN BERNARDO AVE APT 173, LAREDO, TX 78041-2520
(956) 774-2297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213388
TX
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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