Individual
YESICA DEVORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7519 ECHO PINES DR, HUMBLE, TX 77346-3141
Mailing address
7519 ECHO PINES DR, HUMBLE, TX 77346-3141
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
12/08/2017
Last updated
03/17/2018
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