Individual
KEVIN PULIKOTTIL CHERIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 S JOHN REDDITT DR., LUFKIN, TX 75904
(936) 632-2107
Mailing address
402 S JOHN REDDITT DR, LUFKIN, TX 75904-3108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
TX
Other
Enumeration date
07/23/2018
Last updated
07/23/2018
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