Individual
KINSHASA RACHEL ILAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
21727 PROVINCIAL BLVD, KATY, TX 77450-6508
(281) 717-1302
Mailing address
9126 BASIN RIDGE LN, RICHMOND, TX 77407-1681
(832) 348-0517
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211055
TX
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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