Individual
KELSI KUCERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
10839 QUARRY PARK, SAN ANTONIO, TX 78233
(210) 257-6260
Mailing address
PO BOX 1607, SUITE 202, SAN ANTONIO, TX 78296-1607
(210) 558-6288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114875
TX
225XP0200X
Pediatric Occupational Therapist
Primary
114875
TX
Other
Enumeration date
07/18/2013
Last updated
11/26/2014
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