Individual
MS. KRISTIE A MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
415 HIGHWAY 377 S STE 200, ARGYLE, TX 76226-5140
(940) 464-7010
Mailing address
415 HIGHWAY 377 S STE 200, ARGYLE, TX 76226-5140
(940) 464-7010
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1190
OK
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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