Individual
KAY LYNNE PROCHASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
12413 JUDSON RD STE 260, LIVE OAK, TX 78233-3262
(210) 656-7953
(210) 656-7957
Mailing address
114 DAISY DRIVE, MARION, TX 78124
(979) 541-3480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113700
TX
Other
Enumeration date
11/09/2017
Last updated
01/23/2024
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