Individual
KIRSTEN SUZANNE HUMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1411 DEMOCRAT ST # 4, BLANCO, TX 78606-5846
(504) 206-6056
Mailing address
1411 DEMOCRAT ST # 4, BLANCO, TX 78606-5846
(504) 206-6056
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
118860
TX
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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