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Individual

MS. TRINA ANN BIVENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
8595 MEDICAL CENTER BLVD, PORT ARTHUR, TX 77640-2428
(409) 721-8600
Mailing address
8595 MEDICAL CENTER BLVD, PORT ARTHUR, TX 77640-2428
(409) 658-6078

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102870
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
102870
TX

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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