Individual
KATE MACKENZIE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1022 RIVER RD STE 6, BOERNE, TX 78006-2487
(830) 331-8600
Mailing address
59 MARIPOSA PKWY W, BOERNE, TX 78006-2220
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112757
TX
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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