Individual
KELLY RAY MCCASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 MAYBROOK DR, BUDA, TX 78610-9375
(512) 667-1178
Mailing address
620 MAYBROOK DR, BUDA, TX 78610-9375
(512) 667-1178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
123773
TX
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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