Individual
LISA ANNETTE KUTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6436 WALTERS BEND CT, GRANBURY, TX 76049-5369
(817) 229-1852
Mailing address
6436 WALTERS BEND CT, GRANBURY, TX 76049-5369
(817) 229-1852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104066
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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