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Individual

JENNIFER CHRISTIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6870 HEUERMANN RD, SAN ANTONIO, TX 78256-9605
(210) 760-3103
Mailing address
6870 HEUERMANN RD, SAN ANTONIO, TX 78256-9605

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107031
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
Enumeration date
02/09/2018
Last updated
03/17/2018
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