Individual
HANAN JALAL KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 E MEDICAL CENTER BLVD, WEBSTER, TX 77598-4301
(832) 224-9500
Mailing address
4925 FORT CROCKETT BLVD APT 621, GALVESTON, TX 77551-5950
(361) 676-4020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
443949
TX
225XP0200X
Pediatric Occupational Therapist
443949
TX
Other
Enumeration date
03/29/2021
Last updated
03/29/2021
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