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Individual

MS. KIM RAYDON ANTUNEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
3434 WATTERS RD, PASADENA, TX 77504-2015
(713) 941-9155
Mailing address
32410 WATERHOUSE CT, FULSHEAR, TX 77441-4077
(713) 907-4342

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
207562
TX

Other

Enumeration date
08/20/2018
Last updated
08/20/2018
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