Individual
KAYLA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6910 CLOVER WALK LN, RICHMOND, TX 77469-5763
(972) 951-8191
Mailing address
6910 CLOVER WALK LN, RICHMOND, TX 77469-5763
(972) 951-8191
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69547
NY
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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