Stephanie Realivasquez

NPI #1063112886 in Allen, Texas

Provider Information

NPI Number
1063112886
Entity Type
Individual
Name
Stephanie Realivasquez
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Mar 9, 2023
Last Updated
Mar 9, 2023

Practice Location

Address
1228 E EXCHANGE PKWY STE 118
City
Allen
State
Texas
ZIP Code
75002-1980
Phone
(214) 284-0677

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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