Provider Demographics
NPI:1871731216
Name:GALINDO, FELICITAS (BA, COTA)
Entity type:Individual
Prefix:
First Name:FELICITAS
Middle Name:
Last Name:GALINDO
Suffix:
Gender:F
Credentials:BA, COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2616 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6510
Mailing Address - Country:US
Mailing Address - Phone:956-566-9781
Mailing Address - Fax:
Practice Address - Street 1:2616 E 4TH ST
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6510
Practice Address - Country:US
Practice Address - Phone:956-566-9781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-22
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208950224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208950OtherECPTOTE - TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS