Individual
MRS. KATHLEEN CLARE JANUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MED
Contact information
Practice address
700 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5236
(682) 305-0657
Mailing address
700 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5236
(682) 305-0657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120147
TX
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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