Individual
KELLEY RENEE BODINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6109 MAPLE ST, HOUSTON, TX 77074-7449
(713) 668-6690
Mailing address
11039 SENTRY CT, HOUSTON, TX 77065-5218
(281) 807-9365
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109598
TX
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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