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1801375472
EMANUEL PENA
RIO GRANDE CITY, TX
NPI
1801375472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211293)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
EMANUEL PENA COTA
2530 CENTRAL PALM DR
RIO GRANDE CITY, TX 78582-6648
Phone number: 956-487-3996
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Mailing Address
EMANUEL PENA COTA
745 N EBONY AVE
ROMA, TX 78584-8153
Phone number: 956-437-0184
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