Individual
KRISTY L OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1208-Q NORTH IH-35, ROUND ROCK, TX 78681
(512) 310-7665
(512) 310-9228
Mailing address
1208-Q NORTH IH-35, ROUND ROCK, TX 78681
(512) 310-7665
(512) 310-9228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031DG
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/05/2008
Last updated
02/05/2008
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