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1477033462
JAIME M ACOSTA
SAN ANTONIO, TX
NPI
1477033462
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211114)
Enumeration Date
2018-08-18
Last Update Date
2018-08-18
Business Address
JAIME M ACOSTA OTA
602 BABCOCK RD
SAN ANTONIO, TX 78201-3158
Phone number: 210-731-1012
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Mailing Address
JAIME M ACOSTA OTA
4946 WINTER CHERRY
SAN ANTONIO, TX 78245-3715
Phone number: 210-602-9555
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