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Individual

KRISTIN DE GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3551 ROGER BROOKE DR, MCHE-QD (CREDS), SAN ANTONIO, TX 78234-4504
(210) 808-2231
Mailing address
12330 VANCE JACKSON ROAD, UNIT 6304, SAN ANTONIO, TX 78230
(951) 741-3733

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11971
CA
390200000X
Student in an Organized Health Care Education/Training Program
11971
CA

Other

Enumeration date
09/19/2012
Last updated
09/19/2012
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