Individual
KYLYNN RAEGAN VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
1808 N. 3RD ST, TAHOKA, TX 79373
(806) 441-8085
Mailing address
PO BOX 843, TAHOKA, TX 79373-0843
(806) 441-8085
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123771
TX
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
07/24/2023
Last updated
11/26/2024
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