Individual
MRS. KOURTNEY EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
310 E 18TH ST, JOSHUA, TX 76058-3117
(817) 202-2500
Mailing address
504 LAKEVIEW CIR, BURLESON, TX 76028-6394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111419
TX
Other
Enumeration date
07/05/2007
Last updated
08/14/2013
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