Kidabilities Pc

NPI 1073602454 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1073602454
Enumeration Date 10/12/2006
Last Updated 02/23/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHRISTINE CAROL CHRISTINE
Position OWNER/LICENSED OCCUPATIONAL THERAPI
Phone (512) 930-5439
Fax (512) 930-5431
Practice Location
1520 LEANDER ROAD
SUITE 101
GEORGETOWN TX, 78628, US
Phone (512) 930-5439
Fax (512) 930-5431
Business Location
PO BOX 1585
GEORGETOWN TX, 78627-1585, US
Phone (512) 930-5439
Fax (512) 930-5431
Toxanomy
Taxonomy Code 225XP0200X
License State Texas
License Number 543300000
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According to our database, Kidabilities Pc NPI is 1073602454, taxonomy code is 225XP0200X and license number is 543300000, license state is located at Texas. Kidabilities Pc physically located at 1520 Leander Road, Georgetown TX, 78628. NPI Number 1033115704 has the healthcare provider type.

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1073602454 NPI number is provided on an as is basis without warranty of any kind. 1073602454 is maintained by the National Plan & Provider Enumeration System. The contents of Kidabilities Pc are for informational purposes only.