Individual
NELLY DE LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4503 S SUGAR RD, EDINBURG, TX 78539-7049
(956) 386-1112
Mailing address
716 S SALINAS BLVD, DONNA, TX 78537-4002
(956) 534-1734
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211740
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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