Individual
MRS. CASSANDRA BUENTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
6422 S CAGE BLVD STE B, PHARR, TX 78577
(956) 475-3681
Mailing address
6422 S CAGE BLVD STE B, PHARR, TX 78577-6957
(956) 475-3681
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213792
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2876302-01
—
TX
Enumeration date
04/04/2016
Last updated
08/02/2018
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