Individual
GRISELDA DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10064 ALAMEDA AVE, SOCORRO, TX 79927-1801
(915) 773-0744
(915) 790-0612
Mailing address
12446 PASEO BLANCO DR, EL PASO, TX 79928-5681
(915) 588-5292
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212084
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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