Individual
MISS ALYSSA NORA DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
45 NW INTERSTATE 410 LOOP FROUNTAGE RD #690, SAN ANTONIO, TX 78216-5832
(210) 457-2000
Mailing address
4026 KNOLLHILL, SAN ANTONIO, TX 78247-2117
(214) 668-8394
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113581
TX
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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