Individual
KACI L HENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N SAN MARCOS ST, WHITNEY, TX 76692-2652
(254) 694-2233
Mailing address
PO BOX 1472, WHITNEY, TX 76692-1472
(254) 707-7374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215041
TX
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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