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NPI Code Detail

MEDICARE: PAOLA JASSO OTR

MEDICARE: PAOLA JASSO OTR
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
1225X00000XOccupational Therapist126499TX

General Provider Information

NPI Number : 1598243578
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAOLA JASSO OTR
Provider Business Mailing Address
First Line : 2110 LOMAS DEL SUR STE 114
Second Line :
City : LAREDO
State : TX
Zip : 78046-5751
Country : US
Telephone Number : 956-712-9111
Fax Number :
Provider Business Practice Location Address
First Line : 2110 LOMAS DEL SUR STE 114
Second Line :
City : LAREDO
State : TX
Zip : 78046-5751
Country : US
Telephone Number : 956-712-9111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 06/15/2026

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Directions to “ PAOLA JASSO OTR” Practice Location

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