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1811565930
KELSIE MAE WALTHERS
FORT WORTH, TX
NPI
1811565930
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 216827)
Enumeration Date
2021-06-15
Last Update Date
2021-06-15
Business Address
KELSIE MAE WALTHERS OTA/L
3401 AMADOR DR
FORT WORTH, TX 76177-2227
Phone number: 682-204-0853
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Mailing Address
KELSIE MAE WALTHERS OTA/L
204 CREEKWOOD RANCH RD
AZLE, TX 76020-8047
Phone number: 719-355-6292
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