Individual
MONICA MICHELLE MANZANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
3030 FIG ST, CORPUS CHRISTI, TX 78404-3834
(361) 888-5619
(361) 888-5819
Mailing address
6225 JAKES WAKE RUN, CORPUS CHRISTI, TX 78414-6345
(361) 548-8338
(361) 888-5819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208946
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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