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Individual

CHARISSA ETTINOFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11405 SUMMIT BAY DR, PEARLAND, TX 77584-2558
(832) 865-0059
Mailing address
11405 SUMMIT BAY DR, PEARLAND, TX 77584-2558
(832) 865-0059

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110333
TX

Other

Enumeration date
10/14/2010
Last updated
10/14/2010
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