Provider Demographics
NPI:1245571603
Name:OT SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:OT SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:ALICIA
Authorized Official - Last Name:CARRANZA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:956-525-2020
Mailing Address - Street 1:PO BOX 5202
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78502-5202
Mailing Address - Country:US
Mailing Address - Phone:956-525-2020
Mailing Address - Fax:956-682-6536
Practice Address - Street 1:7516 N 2ND LN
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-5682
Practice Address - Country:US
Practice Address - Phone:956-525-2020
Practice Address - Fax:956-682-6536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-11
Last Update Date:2013-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112204225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty