Individual
MRS. ITZEL CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1445 BESSEMER DR, STE. C, EL PASO, TX 79936-5930
(915) 633-1975
(185) 553-3140
Mailing address
2808 MAGIC ROCK DR, EL PASO, TX 79938-4551
(915) 408-7198
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113411
TX
Other
Enumeration date
02/05/2010
Last updated
11/13/2015
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