Provider Demographics
NPI:1871948513
Name:BARRIOS, KRISTINE MARIE (OTR/L)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:MARIE
Last Name:BARRIOS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KRISTINE
Other - Middle Name:MARIE
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2107 OCELOT TRL
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-2218
Mailing Address - Country:US
Mailing Address - Phone:956-639-1171
Mailing Address - Fax:
Practice Address - Street 1:2107 OCELOT TRL
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-2218
Practice Address - Country:US
Practice Address - Phone:956-639-1171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119978225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist