Edward Mark Favela Jr., COTA
Occupational Therapy Assistant in El Paso, TX. Individual provider (NPI-1).
NPI number1164084620
StatusActive
Last updated in NPPESJul 8, 2020
Details
- NPI
- 1164084620
- Entity type
- Individual (NPI-1)
- Name
- Mr. Edward Mark Favela Jr.
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 5, 2019
- Certification date
- Jul 8, 2020
- Last updated
- Jul 8, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5202008595 | MI | Yes |
| 224Z00000X | Occupational Therapy Assistant | 215683 | TX |
Practice location
1514 N Zaragoza Rd Ste B4El Paso, TX 79936-8041
Phone 915-257-5782
Mailing address
1514 N Zaragoza Rd Ste B4El Paso, TX 79936-8041
Phone 915-257-5782
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All 138 Occupational Therapy Assistant providers in El Paso · All 15,133 providers in El Paso
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