Individual
JOSE RAYNALDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
13428 BISSONNET ST, HOUSTON, TX 77083-6275
(713) 351-4300
Mailing address
1414 N SHEPHERD DR APT 606, HOUSTON, TX 77008-4162
(713) 517-2962
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215915
TX
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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