Individual
MS. KALESHA SHANICE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
555 BUTTERFIELD RD APT 814, HOUSTON, TX 77090-4051
(754) 422-2504
Mailing address
555 BUTTERFIELD RD APT 814, HOUSTON, TX 77090-4051
(754) 422-2504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216996
TX
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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