Individual
KRISTI MARTINEZ IMMITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2301 MARSH LN, PLANO, TX 75093-8497
(972) 899-5510
Mailing address
5908 PATHFINDER DR, PLANO, TX 75093-4525
(972) 746-6654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
108444
TX
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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