Individual
KRISTEN HAEFELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 BROOK SPRING DR BLDG II, DALLAS, TX 75224-4968
(817) 759-7913
Mailing address
1424 HEMPHILL ST, FORT WORTH, TX 76104-4703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115878
TX
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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