Individual
CARRIE KAUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1052 E WASHINGTON ST, STEPHENVILLE, TX 76401-4558
(254) 965-3611
Mailing address
1169 UPPER DENTON RD, WEATHERFORD, TX 76085-8829
(817) 599-5721
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209122
TX
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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