Individual
AMADA MIRELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, COTA, CMLDT
Contact information
Practice address
4203 MONTROSE BLVD STE 400, HOUSTON, TX 77006-5470
(602) 332-5572
Mailing address
2514 IDEAL ST, HOUSTON, TX 77009-5656
(602) 332-5572
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
217590
TX
225700000X
Massage Therapist
Primary
MT130410
TX
Other
Enumeration date
12/20/2025
Last updated
12/20/2025
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