Individual
KAYLA R HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 ESTRELLA XING, GEORGETOWN, TX 78628-6991
(512) 863-2528
Mailing address
2205 TEAKWOOD DR APT B, AUSTIN, TX 78757-7752
(239) 250-1077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216527
TX
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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