Individual
BRENDA DE SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5858 MAIN ST STE 160, FRISCO, TX 75033-4108
(972) 712-2669
Mailing address
13530 COUNTY ROAD 577, ANNA, TX 75409-7411
(214) 223-1830
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123550
TX
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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