Individual
IVAN JERICK RIZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
4004 N JACKSON RD, PHARR, TX 78577-4962
(956) 463-3887
Mailing address
3909 HICKORY AVE, MCALLEN, TX 78501-8178
(956) 789-1650
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120927
TX
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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