Individual
IRMADRIANA S TREJO-DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3100 SCHOFIELD RD BLDG 1179, JBSA FT SAM HOUSTON, TX 78234-7577
(210) 808-2269
(210) 916-6749
Mailing address
5055 VON SCHEELE DR APT 522, SAN ANTONIO, TX 78229-4352
(682) 597-8965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215876
TX
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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