Individual
MRS. KERRI W. PAVLISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3211 HANCOCK DR, AUSTIN, TX 78731-5427
(512) 533-9313
(512) 533-9317
Mailing address
3211 HANCOCK DR, AUSTIN, TX 78731-5427
(512) 533-9313
(512) 533-9317
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
659627
BCBS PROVIDER #
TX
01
—
8T1234
BCBS PROVIDER #
TX
Enumeration date
08/03/2006
Last updated
07/08/2007
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