Individual
KATHRYNE JOANN GRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
(877) 300-7394
Mailing address
2280 CATALONIA CV, LEAGUE CITY, TX 77573-3337
(281) 538-8019
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117373
TX
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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