Individual
YANGEL CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
4091 EAST CHESTER DR., BRYAN, TX 77802
(888) 781-4131
(979) 774-3021
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212099
TX
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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