Individual
JESSICA GARZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
219 LAKEVIEW CIR, EUSTACE, TX 75124-9749
(903) 286-4728
Mailing address
219 LAKEVIEW CIR, EUSTACE, TX 75124-9749
(903) 286-4728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214319
TX
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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