Individual
CHRISTINE ALEXIS MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4722 RIVERSTONE BLVD STE 100, MISSOURI CITY, TX 77459-4723
(817) 984-8655
Mailing address
9634 JESKE RD, NEEDVILLE, TX 77461-7207
(832) 535-6758
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217612
TX
Other
Enumeration date
10/10/2022
Last updated
04/10/2024
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