Individual
KIMBERLY WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 TROUP HWY, STE. 800, TYLER, TX 75703-2356
(903) 939-2800
Mailing address
12594 COUNTY ROAD 452, LINDALE, TX 75771-4314
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
102188
TX
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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