Provider Demographics
NPI:1225436223
Name:JAIME, LONI (OTR)
Entity Type:Individual
Prefix:
First Name:LONI
Middle Name:
Last Name:JAIME
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 N MESA ST
Mailing Address - Street 2:SUITE A-2 #410
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1538
Mailing Address - Country:US
Mailing Address - Phone:915-533-8193
Mailing Address - Fax:915-533-8194
Practice Address - Street 1:3800 N MESA ST
Practice Address - Street 2:SUITE C-7
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-1538
Practice Address - Country:US
Practice Address - Phone:915-533-7787
Practice Address - Fax:915-533-7788
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX116006225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist