Individual
WALDINA YARELY SOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
204 FALVEY ST, LUFKIN, TX 75904-3910
(936) 676-7051
Mailing address
204 FALVEY ST, LUFKIN, TX 75904-3910
(936) 676-7051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215966
TX
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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