Individual
DEBORAH KENNEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
309 PLANTATION DR, LAKE JACKSON, TX 77566-6142
(979) 418-7165
(800) 419-5153
Mailing address
309 PLANTATION DR, LAKE JACKSON, TX 77566-6142
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208151
TX
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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