Individual
BAILEY E KUDRNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12031 SHADY CREEK DR, WHITNEY, TX 76692-5668
(573) 823-7694
Mailing address
12031 SHADY CREEK DR, WHITNEY, TX 76692-5668
(573) 823-7694
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216225
TX
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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