Individual
GRISELDA BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5346 E US HIGHWAY 83 STE 2, RIO GRANDE CITY, TX 78582-9418
(956) 317-1282
(956) 317-1282
Mailing address
5346 E US HIGHWAY 83 STE 2, RIO GRANDE CITY, TX 78582-9418
(956) 292-1700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114169
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270230249
—
TX
05
—
270385434
—
TX
05
—
460581169
—
TX
05
—
862263137
—
TX
Enumeration date
06/14/2011
Last updated
11/04/2023
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