Individual
KIMBERLY GRACE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 481-1588
Mailing address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122523
TX
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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