Individual
MRS. JEANNELL CASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
600 ELIZABETH ST, CORPUS CHRISTI, TX 78404-2235
(361) 881-3000
Mailing address
409 BARRACUDA PL, CORPUS CHRISTI, TX 78411-1521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111953
TX
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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