Individual
KYLENE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3200 PARKWAY RD, BIG SPRING, TX 79720-6800
(432) 263-4041
Mailing address
3200 PARKWAY RD, BIG SPRING, TX 79720-6800
(575) 313-7578
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211013
TX
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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