Individual
KELSEY ELIZABETH BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 MEDICAL AVE, COLLEGE STATION, TX 77845-7986
(979) 272-1000
Mailing address
1500 MEDICAL AVE, COLLEGE STATION, TX 77845-7986
(979) 272-1000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211794
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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