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1083133813
AVERY KRISTIE DE LA PENA
BOERNE, TX
NPI
1083133813
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Former Name
AVERY KRISTIE WILSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: TX 118625)
Enumeration Date
2017-09-13
Last Update Date
2023-05-12
Business Address
Mrs. AVERY KRISTIE DE LA PENA MSOT, OTR
18 SCENIC LOOP RD # 200D
BOERNE, TX 78006-8672
Phone number: 830-755-0098
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Mailing Address
Mrs. AVERY KRISTIE DE LA PENA MSOT, OTR
7631 PONDEROSA PNE
BOERNE, TX 78015-5141
Phone number:
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