Individual
KASEY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2146 AUGUSTA DR, HOUSTON, TX 77057-3757
(613) 772-3086
Mailing address
2146 AUGUSTA DR, HOUSTON, TX 77057-3757
(361) 772-3086
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115923
TX
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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