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Jessica Garza, COTA

Occupational Therapy Assistant in Eustace, TX. Individual provider (NPI-1).

NPI number1962025841
StatusActive
Last updated in NPPESMay 26, 2020

Details

NPI
1962025841
Entity type
Individual (NPI-1)
Name
Jessica Garza
Credential
COTA
Sex
Female
Sole proprietor
Yes
Enumeration date
May 26, 2020
Certification date
May 26, 2020
Last updated
May 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant214319TXYes

Practice location

219 Lakeview Cir
Eustace, TX 75124-9749

Phone 903-286-4728

Mailing address

219 Lakeview Cir
Eustace, TX 75124-9749

Phone 903-286-4728

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