Individual
LAVONDA D KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3505 SUMMERHILL RD, SUITE 17, TEXARKANA, TX 75503-3535
(903) 691-3734
(903) 793-7996
Mailing address
PO BOX 988, TEXARKANA, TX 75504-0988
(903) 793-7994
(903) 793-7996
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208167
TX
Other
Enumeration date
08/13/2006
Last updated
07/08/2007
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