Individual
KELLIE LORRAINE BEALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1825 FORTVIEW RD STE 103, AUSTIN, TX 78704-7654
(512) 444-4263
(512) 444-4262
Mailing address
PO BOX 226656, DALLAS, TX 75222-6656
(214) 943-9431
(214) 943-9407
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119807
TX
Other
Enumeration date
03/04/2019
Last updated
05/21/2025
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