Individual
ALISA KIRKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 OLD AUSTIN HWY, BASTROP, TX 78602-5168
(512) 321-3579
Mailing address
430 OLD AUSTIN HWY, BASTROP, TX 78602-5168
(512) 321-3579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212924
TX
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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