Individual
KRISTINA MAGAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
5555 N LAMAR BLVD STE L103, AUSTIN, TX 78751-1066
(512) 200-2332
(512) 852-4557
Mailing address
15043 SAVANNAH HEIGHTS DR, AUSTIN, TX 78717-4632
(512) 310-8681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112386
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112386
OT LICENSE
TX
Enumeration date
06/29/2012
Last updated
11/08/2013
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