Individual
JUAN CARLOS BETANCOURT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 W PRICE RD STE 7, BROWNSVILLE, TX 78520-8715
(956) 455-1869
(956) 544-2569
Mailing address
3164 SOUTHMOST RD, BROWNSVILLE, TX 78521-4791
(956) 466-1245
(956) 544-2569
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116919
TX
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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