MEDICARE: MAGDA SOSA-GWOSDZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	112083	TX

General Provider Information

NPI Number	:	1487918371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGDA SOSA-GWOSDZ

Provider Business Mailing Address
First Line	:	13100 NORTHWEST FWY STE 360
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6337
Country	:	US
Telephone Number	:	713-877-8447
Fax Number	:

Provider Business Practice Location Address
First Line	:	13100 NORTHWEST FWY STE 360
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77040-6337
Country	:	US
Telephone Number	:	713-877-8447
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2012
Last Update Date	:	06/26/2012

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Directions to “ MAGDA SOSA-GWOSDZ ” Practice Location

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