Individual
KENNETH M HOOTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1200 RICHLAND DR, SUITE G, WACO, TX 76710-8008
(254) 772-0118
(254) 772-3883
Mailing address
1200 RICHLAND DR, WACO, TX 76710-8008
(254) 772-0118
(254) 772-3883
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111525
TX
225XH1200X
Hand Occupational Therapist
111525
TX
Other
Enumeration date
09/21/2010
Last updated
10/08/2010
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