Individual
CHRISTINE CAROL VERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1520 LEANDER ROAD, SUITE 101, GEORGETOWN, TX 78628
(512) 930-5439
(512) 930-5431
Mailing address
PO BOX 1585, GEORGETOWN, TX 78627-1585
(512) 930-5439
(512) 930-5431
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
108156
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89985T
BCBS PROVIDER NUMBER
TX
Enumeration date
01/30/2007
Last updated
02/23/2010
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