Provider Demographics
NPI:1396035812
Name:BRIZUELA, PILAR (OTR)
Entity Type:Individual
Prefix:
First Name:PILAR
Middle Name:
Last Name:BRIZUELA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 ROYAL FRST
Mailing Address - Street 2:SUITE B-90
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-5045
Mailing Address - Country:US
Mailing Address - Phone:281-358-0577
Mailing Address - Fax:281-358-1520
Practice Address - Street 1:2665 ROYAL FRST
Practice Address - Street 2:SUITE B-90
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-5045
Practice Address - Country:US
Practice Address - Phone:281-358-0577
Practice Address - Fax:281-358-1520
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109306225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist