Individual
MS. KRISTINA LYNNE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11110 TOM ADAMS DR, AUSTIN, TX 78753-3354
(512) 836-1515
(855) 232-8604
Mailing address
501 FOREST LN, SUITE A, CLEMSON, SC 29631-2621
(864) 654-2001
(800) 305-7112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118743
TX
225X00000X
Occupational Therapist
2729
SC
Other
Enumeration date
11/15/2012
Last updated
10/15/2018
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