Individual
ELIZABETH BLAIR CHRISTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1300 E 2ND ST, GRANBURY, TX 76048-1496
(817) 408-3816
Mailing address
1117 CALINCO DR, GRANBURY, TX 76048-2608
(817) 579-8758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109929
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109929
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
08/17/2018
Last updated
08/17/2018
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