Individual
CHRISTINE BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 N ZARAGOZA RD STE B1, EL PASO, TX 79936-7976
(915) 921-6881
(915) 921-6882
Mailing address
2636 TAHITI DR, EL PASO, TX 79925-5315
(915) 238-1202
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
107938
TX
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235578048
TRICARE
TX
Enumeration date
01/12/2017
Last updated
08/09/2023
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