Individual
KENZIE FELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2505 E VILLA MARIA RD, BRYAN, TX 77802-2069
(979) 776-4778
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 232-8954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119790
TX
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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