Individual
TERESA GIANSANTI KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, LOT
Contact information
Practice address
4903 TOMAHAWK TRL., AUSTIN, TX 78745-1544
(512) 445-2632
Mailing address
4903 TOMAHAWK TRL., AUSTIN, TX 78745-1544
(512) 445-2632
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100801
TX
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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