Individual
KENDRA LYN BETZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
561 RIDGECREST RD, FORNEY, TX 75126-0146
(972) 552-2420
Mailing address
2025 PINE KNOT DR, HEARTLAND, TX 75126-8284
(903) 603-8544
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213019
TX
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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