Individual
KENNETHIA L TOWNSEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
512 DRAPER DR, TEMPLE, TX 76504-2911
(254) 314-5308
Mailing address
1717 S 49TH ST, TEMPLE, TX 76504-6531
(254) 314-5308
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210413
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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