Individual
CHRISTA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1102 S CONGRESS AVE, AUSTIN, TX 78704-1728
(512) 462-5353
Mailing address
1102 S CONGRESS AVE, AUSTIN, TX 78704-1728
(512) 462-5353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217313
TX
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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