Tina M. Anderson, OT
Lactation Consultant, Non-RN in Austin, TX. Individual provider (NPI-1).
NPI number1063684983
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1063684983
- Entity type
- Individual (NPI-1)
- Name
- Tina M. Anderson
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2008
- Certification date
- Sep 29, 2026
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | – | TX | Yes |
| 225X00000X | Occupational Therapist | 103532 | TX |
Practice location
107 Concord CirAustin, TX 78737-9061
Phone 512-538-5748
Mailing address
166 Hargraves DrAustin, TX 78737-4796
Phone 512-538-5748
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