Individual
KRISTA LEE PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5507 SW 9TH AVE, AMARILLO, TX 79106-4130
(806) 468-7611
Mailing address
5314 BRIAR ST, AMARILLO, TX 79109-6236
(806) 471-3270
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215944
TX
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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