Individual
MS. DANELLE REIN MODESTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
524 E LOS EBANOS BLVD STE B, BROWNSVILLE, TX 78520-4254
(956) 572-1908
Mailing address
3402 BRASILIA, BROWNSVILLE, TX 78526-1229
(956) 371-1534
(888) 388-8379
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215675
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154793040
NPI
—
Enumeration date
06/18/2019
Last updated
06/18/2019
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