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Individual

KARISSA NICOLE HARTWIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 481-1588
Mailing address
1349 EVERGREEN DR, LEWISVILLE, TX 75067-3328
(661) 810-1447

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121762
TX

Other

Enumeration date
04/26/2021
Last updated
04/26/2021
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