JOSE LUIS IBARRA

TYLER, TX
NPI1073700753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  106524)
Enumeration Date2007-09-26
Last Update Date2007-09-26
Business Address
-- JOSE LUIS IBARRA otr
3505 OLD JACKSONVILLE RD
TYLER, TX 75701-8510
Phone number: 903-561-7835
Mailing Address
-- JOSE LUIS IBARRA otr
3505 OLD JACKSONVILLE RD
TYLER, TX 75701-8510
Phone number: 903-561-7835