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General NPI Number Information
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NPI Number | 1962741835
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Entity Type | Individual
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Provider Name | JULISSA BARRERA MARTIN OT, MOT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1217 W HOUSTON AVE
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City | MCALLEN
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State | TX
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Zip | 78501-5012
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Country | US
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Telephone | 713-364-4239
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Fax |
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Provider Business Mailing Address
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Address Line | 26 S CREEKMIST PL
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City | CONROE
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State | TX
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Zip | 77385-3744
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Country | US
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Telephone | 713-364-4239
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 115231
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License Number State | TX
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