Individual
CRISTOPHER LYNN BORUNDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4200 LIVE OAK ST, DALLAS, TX 75204-6733
(214) 515-6130
(000) 000-0000
Mailing address
1567 DRURY DR, DALLAS, TX 75232-1939
(469) 744-4897
(000) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209533
TX
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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