Individual
CLARISSA CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
316 GENERAL CAVAZOS BLVD, KINGSVILLE, TX 78363-7245
(361) 592-9366
Mailing address
421 E SHELTON ST, KINGSVILLE, TX 78363-6343
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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