Individual
MYKISHIA RENEE GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
21630 MERCHANTS WAY, KATY, TX 77449-2514
(832) 230-1518
(281) 741-7355
Mailing address
1919 S KIRKWOOD RD APT 172-3, HOUSTON, TX 77077-6238
(253) 202-4030
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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