Individual
KAGEN LEE TRANUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
850 TOWER DR STE 112, ODESSA, TX 79761-4252
(432) 614-0595
Mailing address
908 SHEA LN, MIDLAND, TX 79706-7198
(432) 413-2615
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121281
TX
Other
Enumeration date
01/25/2021
Last updated
03/15/2021
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