Individual
KRISTINE MARIE WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
916 GREGORY AVE, BEDFORD, TX 76022-7845
(469) 580-5778
Mailing address
916 GREGORY AVE, BEDFORD, TX 76022-7845
(469) 580-5778
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
213505
TX
225X00000X
Occupational Therapist
Primary
121439
TX
Other
Enumeration date
03/17/2020
Last updated
02/06/2021
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