Individual
KATHY ANN TIENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1505 CALLE DEL NORTE STE 440, LAREDO, TX 78041-6040
(956) 722-6221
Mailing address
305 NE LOOP 820; BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215107
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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