Individual
KALEA IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
1250 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 353-3596
(806) 353-4927
Mailing address
3506 BREMOND DR, AMARILLO, TX 79109-4014
(806) 382-6845
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
212162
TX
225X00000X
Occupational Therapist
Primary
121126
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121126
ECPTOTE
TX
Enumeration date
09/08/2015
Last updated
03/28/2023
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