Individual
MIRAM REYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2015 W 3 MILE LINE, STE 7, MISSION, TX 78573-7857
(956) 424-7555
(956) 424-7805
Mailing address
2015 W 3 MILE LINE, STE 7, MISSION, TX 78573
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213407
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213407
EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
08/30/2018
Last updated
08/30/2018
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