Individual
MR. OLIVERIO RENE PRUNEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
317 E PARK AVE, PHARR, TX 78577-4840
(956) 283-7311
(956) 283-8858
Mailing address
317 E PARK AVE, PHARR, TX 78577-4840
(956) 283-7311
(956) 283-8858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2012704
TX
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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