Individual
MR. JOHN MICHAEL KINSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
611 S ROUGH CREEK CT, GRANBURY, TX 76048-2904
(817) 846-4817
Mailing address
611 S ROUGH CREEK CT, GRANBURY, TX 76048-2904
(817) 846-4817
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
105089
TX
225X00000X
Occupational Therapist
Primary
3273
CO
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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