Individual
KATHLEEN MIRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7040 BAKER RD, NEEDVILLE, TX 77461-7378
(713) 553-7772
Mailing address
7040 BAKER RD, NEEDVILLE, TX 77461-7378
(713) 553-7772
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
106136
TX
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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