Individual
KRISTINA ELIZABETH HUSCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13720 MIDWAY RD STE 107, DALLAS, TX 75244-4313
(214) 646-1449
Mailing address
18012 WINDFLOWER WAY, DALLAS, TX 75252-5232
(469) 394-5207
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120703
STATE LISCENSE
TX
Enumeration date
03/03/2020
Last updated
07/05/2024
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