Imelda Mendiola Siller
Occupational Therapy Assistant
13600 Breton Ridge St Unit 9e
Houston
, Texas 77070-5983
Imelda Mendiola Siller
Occupational Therapy Assistant
13600 Breton Ridge St Unit 9e
Houston
, Texas 77070-5983
(281) 931-8686
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Imelda Mendiola Siller
- 13600 Breton Ridge St Unit 9e
- Houston, TX
- Zip : 77070-5983
- Fax : (281) 931-8686
- Phone : (281) 636-3020
Second Address
- Imelda Mendiola Siller
- 13600 Breton Ridge St Unit 9e
- Houston, TX
- Zip : 77070-5983
- Phone : (281) 636-3020
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Is Imelda Mendiola Siller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 215360 | TX |
National Provider Identifier
| NPI | 1023659232 |
|---|---|
| Provider Name | Imelda Mendiola Siller |
| First Address | Houston, TX 77070-5983 |
| Second Address | Houston, TX 77070-5983 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2019 |
| Last Update Date | 30/09/2019 |
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.