Individual
ERICA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4105 TERAVISTA CLUB DR, ROUND ROCK, TX 78665-1525
(512) 310-3700
Mailing address
3505 EAGLE WAY, ROUND ROCK, TX 78681-1773
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112973
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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