Individual
MRS. ANA LYDIA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1701 TOURNAMENT TRAIL DR, LAREDO, TX 78041-6564
(956) 727-3422
Mailing address
8525 MICHIGAN AVE, LAREDO, TX 78045-7226
(956) 220-1977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211480
TX
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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