Individual
KAREN STREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, LMT
Contact information
Practice address
2525 WALLINGWOOD DR, BLDG 9, SUITE 901, AUSTIN, TX 78746-6900
(512) 293-8292
Mailing address
6910 HART LN APT 202, AUSTIN, TX 78731-4156
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
21118
TX
225X00000X
Occupational Therapist
Primary
104995
TX
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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