Individual
KAILASH CHANDRA SAHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1904 NATCHEZ TRCE, ALLEN, TX 75013-4874
(580) 916-2377
(580) 916-2377
Mailing address
1904 NATCHEZ TRACE, ALLEN, TX 75013
(580) 916-2377
(580) 916-2377
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107760
TX
225X00000X
Occupational Therapist
779
OK
Other
Enumeration date
09/17/2008
Last updated
10/13/2015
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