Individual
CHARLENE KRIEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-2308
Mailing address
2500 GREENOCK CT, TYLER, TX 75703-2718
(903) 279-4728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210348
TX
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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