Individual
LOUISE IVELLE BERNARDINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10 OAK CT APT 6107, HOUSTON, TX 77006-1659
(954) 612-3708
Mailing address
10 OAK CT APT 6107, HOUSTON, TX 77006-1659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217503
TX
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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