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Individual

IMELDA MENDIOLA SILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
13600 BRETON RIDGE ST UNIT 9E, HOUSTON, TX 77070-5983
(281) 636-3020
Mailing address
13600 BRETON RIDGE ST UNIT 9E, HOUSTON, TX 77070-5983
(281) 636-3020
(281) 931-8686

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215360
TX

Other

Enumeration date
09/30/2019
Last updated
09/30/2019
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