Individual
JULISSA CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1904 ROSALINDA ST, MISSION, TX 78572-6412
(956) 454-0909
Mailing address
1904 ROSALINDA ST, MISSION, TX 78572-6412
(956) 454-0909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216773
TX
Other
Enumeration date
05/04/2021
Last updated
05/04/2021
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