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Individual

CHRISTIN DIETER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2011 BROADWAY ST STE 130, PEARLAND, TX 77581-5945
(512) 431-4721
Mailing address
1024 CIELO SPRINGS DR, BLANCO, TX 78606
(940) 736-0502

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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