Individual
CHRISTINE BELUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5729 OAKLEAF DR APT 2213, FORT WORTH, TX 76132-2452
(542) 868-6976
Mailing address
5729 OAKLEAF DR APT 2213, FORT WORTH, TX 76132-2452
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111358
TX
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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