Individual
KIM KERLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2650 W PARK ROW DR, PANTEGO, TX 76013-2270
(877) 367-9772
Mailing address
2307 HIGH DR, GRAPEVINE, TX 76051-4545
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109558
TX
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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