Individual
MS. CHRISTA RAE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Mailing address
5555 N LAMAR BLVD, STE L 103, AUSTIN, TX 78751-1073
(512) 200-2332
(512) 852-4557
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
106204
TX
225XP0200X
Pediatric Occupational Therapist
106204
TX
Other
Enumeration date
10/27/2006
Last updated
01/10/2013
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