Individual
KYLEE JOANNE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7712 COUNTY ROAD 1200, GRANDVIEW, TX 76050-4050
(817) 648-8223
Mailing address
7712 COUNTY ROAD 1200, GRANDVIEW, TX 76050-4050
(817) 648-8223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214199
TX
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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