Individual
KACEE MILLSAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/OTR
Contact information
Practice address
100 E FERGUSON ST STE 1204, TYLER, TX 75702-5700
(903) 880-8762
Mailing address
PO BOX 615, PITTSBURG, TX 75686-0615
(903) 880-8762
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115874
TX
225XP0200X
Pediatric Occupational Therapist
115874
TX
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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