Individual
KAYLI CHIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
19241 DAVID MEMORIAL DR STE 170, SHENANDOAH, TX 77385-8786
(936) 321-8300
Mailing address
2630 BISSONNET ST APT 1409, HOUSTON, TX 77005-1568
(409) 540-0627
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121305
TX
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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