Individual
ALYSA MARI SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
113 S FERRIS ST, ENNIS, TX 75119-8342
(972) 825-6790
Mailing address
113 S FERRIS ST, ENNIS, TX 75119-8342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216926
TX
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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