Individual
MISS KATIE ANNE FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5507 SW 9TH AVE, AMARILLO, TX 79106-4130
(806) 468-7611
Mailing address
5507 SW 9TH AVE, AMARILLO, TX 79106-4130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120312
TX
225X00000X
Occupational Therapist
4120
NM
Other
Enumeration date
09/08/2019
Last updated
08/05/2020
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