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Individual

MISS KRISTI NICOLE REPP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
5441 BABCOCK RD, STE 200, SAN ANTONIO, TX 78240-3993
(210) 615-1117
Mailing address
9930 GREEN VALLEY RD, UNION BRIDGE, MD 21791-8110
(301) 514-5142

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05989
MD

Other

Enumeration date
09/28/2009
Last updated
09/28/2009
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