Individual
JOAN KRYSTYNIAK-COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1019 HOLDEN ST, GLEN ROSE, TX 76043-4937
(817) 578-7479
Mailing address
11517 COUNTY ROAD 917, CRESSON, TX 76035-4505
(817) 578-7479
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
100823
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100823
OT LICENSE
TX
Enumeration date
08/22/2018
Last updated
08/22/2018
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