Individual
JANICE CRISOSTOMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11310 N CREEKWOOD HILLS LN, HOUSTON, TX 77070-3353
(501) 319-3055
Mailing address
11310 N CREEKWOOD HILLS LN, HOUSTON, TX 77070-3353
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
TX
225X00000X
Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
05/20/2019
Last updated
05/20/2019
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