Individual
MRS. LISA MARIE MCDERMOTT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTRL
Contact information
Practice address
4888 LOOP CENTRAL DR STE 200, HOUSTON, TX 77081-2227
(713) 838-9050
(713) 838-0926
Mailing address
4888 LOOP CENTRAL DR STE 200, HOUSTON, TX 77081-2227
(713) 838-9050
(713) 838-0926
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0119003287
VA
225X00000X
Occupational Therapist
Primary
117103
TX
Other
Enumeration date
03/13/2007
Last updated
12/13/2021
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