Individual
MRS. LISA KETTELKAMP BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.,CHT
Contact information
Practice address
17270 RED OAK DR, SUITE 200, HOUSTON, TX 77090-2632
(281) 440-6960
(281) 440-6205
Mailing address
PO BOX 4356, DEPT 665, HOUSTON, TX 77210-4356
(281) 440-6960
(281) 880-1566
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
105581
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T6229
BCBS
TX
Enumeration date
10/19/2006
Last updated
04/13/2011
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