Individual
KACIE HURTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
907 GARWOOD ST, SMITHVILLE, TX 78957-1117
(512) 237-4606
Mailing address
4424 GAINES RANCH LOOP APT 912, AUSTIN, TX 78735-6498
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117963
TX
Other
Enumeration date
08/15/2018
Last updated
10/01/2018
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