Individual
CHRISTA MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 W LOOP 340, WACO, TX 76712-6840
(254) 399-8255
Mailing address
622 S ADAMS ST, MC GREGOR, TX 76657-2351
(254) 447-4453
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214407
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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