Dallan Altavila Cruz Constantino
Occupational Therapist - Pediatrics
77 North Expy K
Brownsville
, Texas 78526-7852
Dallan Altavila Cruz Constantino
Occupational Therapist - Pediatrics
77 North Expy K
Brownsville
, Texas 78526-7852
(956) 621-8438
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Dallan Altavila Cruz Constantino
- 1165 Wildrose Ln Apt 116
- Brownsville, TX
- Zip : 78520-8802
- Phone : (956) 621-8438
Second Address
- Dallan Altavila Cruz Constantino
- 77 North Expy K
- Brownsville, TX
- Zip : 78526-7852
- Phone : (956) 541-2102
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Is Dallan Altavila Cruz Constantino a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 121810 | TX |
National Provider Identifier
| NPI | 1003484775 |
|---|---|
| Provider Name | Dallan Altavila Cruz Constantino |
| First Address | Brownsville, TX 78520-8802 |
| Second Address | Brownsville, TX 78526-7852 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2021 |
| Last Update Date | 17/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.