Individual
KATHERINE MINISEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18903 PEBBLE LINKS CIR, APT 205, TAMPA, FL 33647-1893
(574) 339-7558
Mailing address
18903 PEBBLE LINKS CIR, APT 205, TAMPA, FL 33647-1893
(574) 339-7558
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212975
TX
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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