Individual
KYLA SUE MCENTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
921 SHILOH RD STE C110, TYLER, TX 75703-1406
(903) 939-2800
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103202
TX
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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