Individual
KRISTA RAQUEL RETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1901 MEDI PARK DR, SUITE 2048, AMARILLO, TX 79106-2110
(806) 353-2101
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213542
TX
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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