Individual
JACQUELINE COURTNEY KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, OTR/L
Contact information
Practice address
5903 CAPE HATTERAS DR, HOUSTON, TX 77041-5911
(832) 360-7535
Mailing address
5903 CAPE HATTERAS DR, HOUSTON, TX 77041-5911
(832) 360-7535
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120211
TX
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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