Individual
BRUNO PARADA GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
503 W OCEAN BLVD, LOS FRESNOS, TX 78566-3635
(956) 797-2100
Mailing address
503 W OCEAN BLVD, LOS FRESNOS, TX 78566-3635
(956) 233-4111
(956) 233-4115
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120168
TX
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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