Provider Demographics
NPI:1205015997
Name:CASAS, CELINA (COTA)
Entity Type:Individual
Prefix:
First Name:CELINA
Middle Name:
Last Name:CASAS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 N. ALAMO RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542
Mailing Address - Country:US
Mailing Address - Phone:956-369-2052
Mailing Address - Fax:956-380-6101
Practice Address - Street 1:7001 N. 10TH ST.
Practice Address - Street 2:SUITE 303
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504
Practice Address - Country:US
Practice Address - Phone:956-994-9650
Practice Address - Fax:956-380-6101
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX113493225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist