Individual
KYLIE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7800 SHOAL CREEK BLVD STE 110W, AUSTIN, TX 78757-1041
(512) 610-1190
(512) 610-1191
Mailing address
7800 SHOAL CREEK BLVD STE 110W, AUSTIN, TX 78757-1041
(512) 610-1190
(512) 610-1191
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120233
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120233
OTR LICENSE
TX
Enumeration date
02/11/2020
Last updated
02/11/2020
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