Individual
KALIN BRACERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3728 S HWY 287, CORSICANA, TX 75109-8960
(903) 874-6315
Mailing address
3728 S HWY 287, CORSICANA, TX 75109-8960
(903) 874-6315
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215638
TX
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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