Individual
KRISTIN LEIGH WHISENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
604 RUTH PL, CENTER, TX 75935-4249
(936) 332-4665
Mailing address
604 RUTH PL, CENTER, TX 75935-4249
(936) 332-4665
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212001
TX
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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