Provider Demographics
NPI:1891275756
Name:ACUNA, CRISTINA ACOSTA (PTA)
Entity Type:Individual
Prefix:MRS
First Name:CRISTINA
Middle Name:ACOSTA
Last Name:ACUNA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6837 WALL ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78414-3576
Mailing Address - Country:US
Mailing Address - Phone:361-701-9911
Mailing Address - Fax:
Practice Address - Street 1:401 N ELM ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4137
Practice Address - Country:US
Practice Address - Phone:940-387-4388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2068418225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant