Individual
KATELYN BLAIR SAPUNDJIEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
930 W CENTERVILLE RD, 930 C, GARLAND, TX 75041-5823
(972) 303-7012
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1,SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212911
TX
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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