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Individual

KARISSA HAVINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
434 COUNTY ROAD 290, GARRISON, TX 75946-5918
(936) 553-9557
Mailing address
434 COUNTY ROAD 290, GARRISON, TX 75946-5918
(936) 553-9557

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210328
TX

Other

Enumeration date
12/12/2023
Last updated
12/12/2023
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