Mary Russell Kilgore OTR

NPI 1609011014 - Occupational Therapist - 225XP0200X

NPI Details
NPI 1609011014
Gender Female
Enumeration Date 12/14/2008
Last Updated 12/14/2008
Entity Type Individual
Active Over 7 years ago
Practice Location
17045 EL CAMINO REAL
SUITE 106
HOUSTON TX, 77058-2649, US
Phone (281) 480-5648
Fax (281) 480-5691
Business Location
17045 EL CAMINO REAL
SUITE 106
HOUSTON TX, 77058-2649, US
Phone (281) 480-5648
Fax (281) 480-5691
Toxanomy
Taxonomy Code 225XP0200X
License State Texas
License Number 100794
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According to our database, Mary Russell Kilgore OTR NPI is 1609011014, taxonomy code is 225XP0200X and license number is 100794, license state is located at Texas. Mary Russell Kilgore OTR physically located at 17045 El Camino Real, Houston TX, 77058-2649. NPI Number Mary Russell Kilgore OTR has the Individual type.

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1609011014 NPI number is provided on an as is basis without warranty of any kind. 1609011014 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Russell Kilgore OTR are for informational purposes only.