Individual
GLADYS FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1260 PIN OAK RD STE 108, KATY, TX 77494-5603
(281) 395-5599
Mailing address
1260 PIN OAK RD STE 108, KATY, TX 77494-5603
(281) 395-5599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214082
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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