Kristin Nicole Hereford, COTA

NPI #1538661137 in Montgomery, Texas

Provider Information

NPI Number
1538661137
Entity Type
Individual
Name
Kristin Nicole Hereford, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Feb 28, 2018
Last Updated
Feb 28, 2018

Practice Location

Address
17570 HIGHWAY 105 W UNIT 17
State
Texas
ZIP Code
77356-5250
Phone
(936) 662-6827

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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