Individual
MR. CHRISTOPHER ALBERT BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2620 SCRIPTURE ST, DENTON, TX 76201-4315
(940) 297-6500
Mailing address
9209 WINONA ST SW, LAKEWOOD, WA 98498-1233
(253) 279-0244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00002929
WA
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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