Individual
KALLI NICOLE KALLIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
704 LONGMIRE RD STE 101, CONROE, TX 77304-1850
(713) 494-5407
Mailing address
16418 RUDDER DR, CROSBY, TX 77532-4925
(713) 494-5407
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
417371
TX
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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