Individual
KYLE ALEXANDER OATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1201 ELM ST STE 121, DALLAS, TX 75270-2014
(469) 620-5070
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
125410
TX
225X00000X
Occupational Therapist
OT007165
GA
Other
Enumeration date
07/27/2018
Last updated
03/03/2025
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