Individual
KYLE CHRISTENSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4444 CORONA DRIVE, CORPUS CHRISTI, TX 78418
(361) 854-1110
Mailing address
510 VEGA DR, CORPUS CHRISTI, TX 78418-3955
(361) 739-5102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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