Provider Demographics
NPI:1114344249
Name:MALDONADO-CARRIZALES, ANNABEL (OTR, M)
Entity Type:Individual
Prefix:MRS
First Name:ANNABEL
Middle Name:
Last Name:MALDONADO-CARRIZALES
Suffix:
Gender:F
Credentials:OTR, M
Other - Prefix:MS
Other - First Name:ANNABEL
Other - Middle Name:
Other - Last Name:MALDONADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3838 N. BRAESWOOD BLVD. #223
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025
Mailing Address - Country:US
Mailing Address - Phone:956-456-3975
Mailing Address - Fax:
Practice Address - Street 1:12605 EAST FREEWAY, SUITE 212
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77015
Practice Address - Country:US
Practice Address - Phone:713-453-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115998225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist