Individual
ESTIBALIZ CRISTINA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3106 BOB ROGERS DR, EAGLE PASS, TX 78852-6302
(210) 285-0659
Mailing address
3106 BOB ROGERS DR, EAGLE PASS, TX 78852-6302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112361
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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