Jose Luis Ibarra, OTR

NPI #1073700753 in Tyler, Texas

Provider Information

NPI Number: 1073700753
Entity Type: Individual
Name: Jose Luis Ibarra, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Sep 26, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 3505 OLD JACKSONVILLE RD
City: Tyler
State: Texas
ZIP Code: 75701-8510
Phone: (903) 561-7835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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