Stephanie Marie Banuelos, COTA

NPI #1528548534 in Socorro, Texas

Provider Information

NPI Number
1528548534
Entity Type
Individual
Name
Stephanie Marie Banuelos, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Aug 19, 2018
Last Updated
Aug 20, 2018

Practice Location

Address
10064 ALAMEDA AVE
State
Texas
ZIP Code
79927
Phone
(915) 773-0730

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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