Individual
BREANA GERVACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 E SAUNDERS ST # 3, LAREDO, TX 78041-5434
(956) 717-0441
Mailing address
320 N 85TH ST UNIT 127, SEATTLE, WA 98103-3818
(956) 337-6606
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
117892
TX
225XP0200X
Pediatric Occupational Therapist
61513765
WA
Other
Enumeration date
09/21/2016
Last updated
02/26/2024
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