Individual
KELLIE RENEE TARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
(682) 738-3056
Mailing address
10524 LAKE GARDENS DR, DALLAS, TX 75218-2336
(214) 328-6560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107485
TX
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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