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Individual

CARMEN TENISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1002 W SAM HOUSTON BLVD STE 10, PHARR, TX 78577-5198
(956) 702-9882
(956) 702-9886
Mailing address
PO BOX 720157, MCALLEN, TX 78504
(956) 682-6900
(956) 683-7192

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103878
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103878
TEXAS STATE BOARD OF OT
TX
Enumeration date
04/12/2007
Last updated
06/07/2010
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