Individual
ANDREANA RAINA ROSA TRINIDAD CRUCILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
6621 FANNIN ST, HOUSTON, TX 77030-2399
(832) 824-1000
Mailing address
13549 ITHACA CRESENT LANE, ROSHARON, TX 77583
(956) 990-8349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1350377
TX
Other
Enumeration date
12/23/2021
Last updated
02/28/2023
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