Individual
MARY RUSSELL KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
310 ODYSSEY DR, WEBSTER, TX 77598-1646
(281) 480-5648
(281) 480-5691
Mailing address
310 ODYSSEY DR, WEBSTER, TX 77598-1646
(281) 480-5648
(281) 480-5691
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
100794
TX
Other
Enumeration date
12/14/2008
Last updated
12/20/2024
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