BLANCA IVETTE MANRIQUEZ

FORT WORTH, TX
NPI1952881062
Professional NameBLANCA IVETTE MANRIQUEZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  214069)
Enumeration Date2018-08-17
Last Update Date2018-08-17
Business Address
Mrs. BLANCA IVETTE MANRIQUEZ COTA/L
4201 STONEGATE BLVD
FORT WORTH, TX 76109-9503
Phone number: 817-924-5440
Mailing Address
Mrs. BLANCA IVETTE MANRIQUEZ COTA/L
3625 CLUBGATE DR
FORT WORTH, TX 76137-2928
Phone number: 915-373-8721