Individual
AITANA CELESTE HUERTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4444 CORONA DR STE 144, CORPUS CHRISTI, TX 78411-4322
(361) 854-1110
(855) 448-9769
Mailing address
305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217708
TX
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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