Individual
MRS. KRISTI CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13119 WATERLILY WAY, SAN ANTONIO, TX 78254-6296
(623) 238-8374
Mailing address
13119 WATERLILY WAY, SAN ANTONIO, TX 78254-6296
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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