Individual
MR. LENIN CARDENAS GRAJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.M., OTR/L, OTRP
Contact information
Practice address
6507 JESTER BLVD., SUITE 309, AUSTIN, TX 78750
(512) 343-1200
Mailing address
6804 NORTH CAPITAL OF TEXAS HWY, APT. 325, AUSTIN, TX 78731
(614) 530-5013
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113775
TX
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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