Individual
CRISTELLE MARIE MIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7007 N 10TH ST, MCALLEN, TX 78504-3104
(956) 217-0330
Mailing address
3904 VALERIA ST APT 3, EDINBURG, TX 78541-0638
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120973
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
01/06/2021
Last updated
01/06/2021
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