Individual
MR. ERIC PEDROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
12309 ZELLER LANE, AUSTIN, TX 78753
(512) 680-7862
Mailing address
12309 ZELLER LANE, AUSTIN, TX 78753
(512) 680-7862
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
174H00000X
Health Educator
—
—
221700000X
Art Therapist
—
—
222Q00000X
Developmental Therapist
—
—
225600000X
Dance Therapist
—
—
225800000X
Recreation Therapist
Primary
59165
—
225A00000X
Music Therapist
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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