JAIME FABIAN ONTIVEROS

HARLINGEN, TX
NPI1710598917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TX  2155890)
Enumeration Date2020-08-11
Last Update Date2020-08-11
Business Address
JAIME FABIAN ONTIVEROS PTA
2117 E TYLER AVE STE B
HARLINGEN, TX 78550-7212
Phone number: 956-440-0580
Mailing Address
JAIME FABIAN ONTIVEROS PTA
4509 N MOOREFIELD RD
MISSION, TX 78574-4894
Phone number: 956-435-2965
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