Individual
KAITLYN EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
860 AIRPORT FWY, STE 210, HURST, TX 76054-3249
(817) 507-1500
Mailing address
860 AIRPORT FWY, STE 210, HURST, TX 76054-3249
(817) 507-1500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
118171
TX
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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