Individual
CHRISTOPHER HENRY HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4900 GAGE AVE APT 671, FORT WORTH, TX 76109-1679
(817) 896-0920
Mailing address
4900 GAGE AVE APT 671, FORT WORTH, TX 76109-1679
(817) 896-0920
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208280
TX
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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