Individual
KEELI MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1318 MEMORIAL DR, BRYAN, TX 77802-5215
(979) 776-2872
(979) 776-1456
Mailing address
1318 MEMORIAL DR, BRYAN, TX 77802-5215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114472
TX
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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