Individual
JOANA LIZETTE FUERTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1217 W. HOUSTON AVE, MCALLEN, TX 78501-5012
(956) 631-9171
(956) 631-7566
Mailing address
1217 W. HOUSTON AVE, MCALLEN, TX 78501-5012
(956) 631-9171
(956) 631-7566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104197
TX
225X00000X
Occupational Therapist
114310
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2847675-05
—
TX
Enumeration date
09/21/2011
Last updated
08/08/2019
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