Individual
MELISSA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
6550 SPRINGFIELD AVE STE 101, LAREDO, TX 78041-6712
(956) 725-4555
Mailing address
6550 SPRINGFIELD AVE STE#101, LAREDO, TX 78041
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
209649
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209649
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
07/16/2013
Last updated
07/16/2013
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