Individual
KAYLA REID SIBLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8707 BOUNDBROOK AVE, DALLAS, TX 75243-7003
(214) 435-4030
Mailing address
8707 BOUNDBROOK AVE, DALLAS, TX 75243-7003
(214) 435-4030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121653
OT
TX
Enumeration date
04/12/2021
Last updated
04/12/2021
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