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Individual

KACY KEITHA PRIDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1846 I-10 S, SUITE 102, BEAUMONT, TX 77707
(409) 292-3434
Mailing address
7390 FM 1943 RD E, WARREN, TX 77664-8892
(409) 429-6875

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119383
TX

Other

Enumeration date
05/14/2019
Last updated
09/10/2020
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