Individual
MRS. KRISTINE S MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9441 LBJ FWY STE 101, DALLAS, TX 75243-4566
(214) 575-9820
Mailing address
1322 NORTHPARK DR, RICHARDSON, TX 75081-5936
(214) 418-6757
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110758
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110758
EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUTIPATIONAL THERAPY EXAMINERS
TX
Enumeration date
08/23/2010
Last updated
08/23/2010
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