Individual
SHERRY O'KELLEY CAVERLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1504 S TEXAS AVE, BRYAN, TX 77802-1015
(979) 822-6467
(979) 822-6467
Mailing address
302 E 24TH ST, BRYAN, TX 77803-5303
(979) 822-6467
(979) 821-9448
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1177239
TX
2251P0200X
Pediatric Physical Therapist
Primary
1177239
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1177239
LICENSE #
TX
Enumeration date
02/21/2008
Last updated
02/21/2008
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