Provider Demographics
NPI:1316737356
Name:MORALES, MICHELLE ARIANA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ARIANA
Last Name:MORALES
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 DENNETT RD APT 206
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-0098
Mailing Address - Country:US
Mailing Address - Phone:956-509-5035
Mailing Address - Fax:
Practice Address - Street 1:1225 FRONTAGE RD
Practice Address - Street 2:SUITE #2A
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520
Practice Address - Country:US
Practice Address - Phone:956-667-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124604225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist