Individual
DEBBIE KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3421 W DAVIS ST, SUITE 210, CONROE, TX 77304-1890
(979) 822-6467
(979) 821-9448
Mailing address
302 E. 24TH ST., P.O. BOX 4588, BRYAN, TX 77805-4588
(979) 822-6467
(979) 821-9448
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109356
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109356
TEXAS LICENSE
TX
Enumeration date
03/01/2007
Last updated
07/08/2007
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