Provider Demographics
NPI:1679919229
Name:CANO, RUTH FRANCES (OT)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:FRANCES
Last Name:CANO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 EXPRESSWAY 83 STE B
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-8335
Mailing Address - Country:US
Mailing Address - Phone:956-580-9911
Mailing Address - Fax:956-580-8257
Practice Address - Street 1:1715 EXPRESSWAY 83 STE B
Practice Address - Street 2:
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-8335
Practice Address - Country:US
Practice Address - Phone:956-580-9911
Practice Address - Fax:956-580-8257
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115391225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist