Individual
KERSTIN MARIE HOLLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17200 STATE HIGHWAY 249 STE 150, HOUSTON, TX 77064-1319
(281) 664-6900
Mailing address
4003 VICENZA AVE, KATY, TX 77493-2877
(713) 417-1602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122078
TBOTE LICENSE
TX
01
—
35056225
TEXAS DRIVER'S LICENSE
TX
Enumeration date
01/04/2022
Last updated
01/04/2022
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