Individual
LIZETT M. GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2002 N CONWAY AVE, SUITE F, MISSION, TX 78572-2902
(956) 580-4040
Mailing address
1305 PECAN AVE, PHARR, TX 78577
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113869
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149229001
—
TX
Enumeration date
03/31/2011
Last updated
08/04/2016
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