Individual
MISS KRISTI BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
87 INTERSTATE 10 N STE 225, BEAUMONT, TX 77707-2549
(409) 835-0228
(409) 835-0151
Mailing address
87 INTERSTATE 10 N STE 225, BEAUMONT, TX 77707-2549
(409) 835-0228
(409) 835-0151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200107
LA
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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