Individual
KIEWANNA ERSKINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16915 ADDISON ROAD, APT G 1008, ADDISON, TX 75001
(361) 772-6521
Mailing address
16915 ADDISON ST APT G 1008, ADDISON, TX 75001
(361) 772-6521
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212998
TX
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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