Individual
KELLY DECHENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
325 MILBURN ST, WHARTON, TX 77488-3226
(979) 533-2202
Mailing address
325 MILBURN ST, WHARTON, TX 77488-3226
(979) 533-2202
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214119
TX
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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