Individual
TARA KINSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 TROUP HWY, TYLER, TX 75703-2356
(903) 939-2800
Mailing address
3314 FLORENCE ST, KILGORE, TX 75662-4219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208665
TX
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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