Individual
JULIA BRISTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W COLORADO BLVD, DALLAS, TX 75208-2326
(214) 941-4550
Mailing address
9425 ROLATER RD APT 2426, FRISCO, TX 75035-2988
(214) 541-8023
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215583
TX
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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