Individual
MRS. NICOLE ALICIA CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
7516 N 2ND LN, MCALLEN, TX 78504-5682
(956) 525-2020
(956) 682-6536
Mailing address
7516 N 2ND LN, MCALLEN, TX 78504-5682
(956) 525-2020
(956) 682-6536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
112204
TX
225XP0200X
Pediatric Occupational Therapist
Primary
112204
TX
251C00000X
Developmentally Disabled Services Day Training Agency
112204
TX
Other
Enumeration date
06/28/2007
Last updated
12/11/2023
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