Individual
MRS. CHRISTY RENEE PETEREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7330
Mailing address
2333 MANOR DR, BRYAN, TX 77802-1907
(979) 821-7330
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109379
TX
Other
Enumeration date
03/05/2008
Last updated
03/05/2008
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