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NPI Code Detail

MEDICARE: DINORA CANTU-PAEZ OTR

MEDICARE: DINORA CANTU-PAEZ OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist104887TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104887OTHERTXLICENSE

General Provider Information

NPI Number : 1245422054
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINORA CANTU-PAEZ OTR
Provider Business Mailing Address
First Line : 1220 N MALINCHE AVE
Second Line :
City : LAREDO
State : TX
Zip : 78043-3354
Country : US
Telephone Number : 956-722-2431
Fax Number : 956-722-7553
Provider Business Practice Location Address
First Line : 1220 N MALINCHE AVE
Second Line :
City : LAREDO
State : TX
Zip : 78043-3354
Country : US
Telephone Number : 956-722-2431
Fax Number : 956-722-7553
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/15/2007

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Directions to “ DINORA CANTU-PAEZ OTR” Practice Location

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