Provider Demographics
NPI:1073142246
Name:FLIEGER, CHRISTINA M (COTA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:M
Last Name:FLIEGER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 BATESVILLE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:DAMASCUS
Mailing Address - State:AR
Mailing Address - Zip Code:72039-8132
Mailing Address - Country:US
Mailing Address - Phone:940-367-6313
Mailing Address - Fax:
Practice Address - Street 1:375 BATESVILLE MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:DAMASCUS
Practice Address - State:AR
Practice Address - Zip Code:72039-8132
Practice Address - Country:US
Practice Address - Phone:940-367-6313
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-08
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARRBT-20-112785106S00000X
AROT-A1914224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician