Individual
KIMBERLY TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 SURVEYORS RD, KRUGERVILLE, TX 76227-9537
(940) 391-3465
Mailing address
303 SURVEYORS RD, KRUGERVILLE, TX 76227-9537
(940) 391-3465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
206235
TX
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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