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1689233322
ROGER MATTA
SAN ANTONIO, TX
NPI
1689233322
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 204758)
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
ROGER MATTA
50 BRIGGS ST
SAN ANTONIO, TX 78224-1267
Phone number: 210-921-0184
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Mailing Address
ROGER MATTA
1910 N INTERSTATE 35
SAN ANTONIO, TX 78208-1925
Phone number:
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