Individual
KRISTEN BAILEY MARAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
13720 MIDWAY RD STE 107, DALLAS, TX 75244-4313
(214) 646-1449
(214) 699-8962
Mailing address
13720 MIDWAY RD STE 107, DALLAS, TX 75244-4313
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
123446
TX
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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