Individual
MISS KELLY MARIE KWASNIUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
300 FOREST CENTER DRIVE, APT 16108, KINGWOOD, TX 77339-1111
(810) 923-5151
Mailing address
300 FOREST CENTER DR, APT 16108, KINGWOOD, TX 77339-5245
(810) 923-5151
(810) 923-5151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113822
TX
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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