Individual
MRS. KEELY BETH SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
101 UHLAND RD, SUITE 112, SAN MARCOS, TX 78666-6630
(512) 396-0872
Mailing address
540 GODE LN, NEW BRAUNFELS, TX 78130-6855
(830) 832-5139
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
210265
TX
225X00000X
Occupational Therapist
Primary
118113
TX
Other
Enumeration date
10/07/2008
Last updated
02/01/2017
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