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Individual

MRS. LAURA KAY KRAFT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
401 E FRONT ST STE 123, TYLER, TX 75702-8250
(903) 531-2581
Mailing address
5609 DONNYBROOK AVE, TYLER, TX 75703-6111
(903) 561-2808

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111299
TX
225XP0200X
Pediatric Occupational Therapist
111299
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
409499701
TX
Enumeration date
03/03/2008
Last updated
01/24/2023
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