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NPI Code Detail

MEDICARE: CHRISTINA C OBERG

MEDICARE:   CHRISTINA C OBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist105818TX

General Provider Information

NPI Number : 1184105124
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA C OBERG
Provider Business Mailing Address
First Line : 4315 HOPKINS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75209-3026
Country : US
Telephone Number : 214-358-3131
Fax Number :
Provider Business Practice Location Address
First Line : 4315 HOPKINS AVE
Second Line :
City : DALLAS
State : TX
Zip : 75209-3026
Country : US
Telephone Number : 214-358-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2018
Last Update Date : 08/28/2018

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Directions to “ CHRISTINA C OBERG ” Practice Location

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