Individual
MR. JUAN MANUEL BUENROSTRO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
2410 E RIVERSIDE DR, SUITE B-1, AUSTIN, TX 78741-3083
(512) 394-0652
(512) 394-1436
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118205
TX
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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