Individual
GISELLE MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 NORTHERN PASS DR, EL PASO, TX 79911-7201
(915) 257-7137
(915) 779-9822
Mailing address
12659 FAIR OAKS CT, HORIZON CITY, TX 79928-7497
(915) 255-7891
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125044
TX
225XP0200X
Pediatric Occupational Therapist
Primary
125044
TX
Other
Enumeration date
10/16/2024
Last updated
03/06/2026
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