Individual
RYAN BORINAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1402 KERN CANYON LN, RICHMOND, TX 77469-2270
(832) 427-7363
Mailing address
1402 KERN CANYON LN, RICHMOND, TX 77469-2270
(832) 427-7363
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215471
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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