Individual
KELSIE BEREND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
701 OAK ST STE C, GRAHAM, TX 76450-3073
(940) 549-0788
(940) 549-0022
Mailing address
701 OAK ST STE C, GRAHAM, TX 76450-3073
(940) 549-0788
(940) 549-0022
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119801
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119801
OTR
TX
Enumeration date
02/23/2019
Last updated
02/23/2019
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