Individual
KATELYN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, BCP
Contact information
Practice address
359 LAKE PARK RD STE 111, LEWISVILLE, TX 75057-2327
(817) 233-8275
(817) 423-7359
Mailing address
359 LAKE PARK RD STE 111, LEWISVILLE, TX 75057-2327
(817) 233-8275
(817) 423-7359
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
124311
TX
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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