Provider Demographics
NPI:1801376322
Name:CANTU, HELEN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:HELEN
Middle Name:
Last Name:CANTU
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 1:2908 VIOLET AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-3670
Mailing Address - Country:US
Mailing Address - Phone:956-373-5117
Mailing Address - Fax:866-830-6862
Practice Address - Street 1:2908 VIOLET AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-3670
Practice Address - Country:US
Practice Address - Phone:956-373-5117
Practice Address - Fax:866-830-6862
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX209300224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant