Individual
RIGOBERTO RENE SUSTAYTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(281) 997-8509
Mailing address
8610 REDWOOD BND, HELOTES, TX 78023-4487
(956) 393-7758
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120086
TX
Other
Enumeration date
11/03/2019
Last updated
11/03/2019
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