Individual
KYLA FRATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-3740
(903) 596-7479
Mailing address
9846 HWY 31 E, TYLER, TX 75705-2329
(903) 525-3740
(903) 596-7479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212285
TX
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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