Individual
KRISTEN PREJEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1640 REDSTONE CTR DR, PARK CITY, UT 84098-7605
(888) 800-8744
Mailing address
4713B SANTA ANNA ST, AUSTIN, TX 78721-2029
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1148623
TX
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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