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1093179434
KELLY MATA
BROWNSVILLE, TX
NPI
1093179434
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 117630)
Enumeration Date
2016-04-12
Last Update Date
2016-04-12
Business Address
-- KELLY MATA
871 OLD ALICE RD SUITE 600
BROWNSVILLE, TX 78520-8268
Phone number: 956-541-2102
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Mailing Address
-- KELLY MATA
871 OLD ALICE RD SUITE 600
BROWNSVILLE, TX 78520-8268
Phone number: 956-541-2102
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