Kelsey Lyn Didericksen

NPI #1184333916 in Webster, Texas

Provider Information

NPI Number: 1184333916
Entity Type: Individual
Name: Kelsey Lyn Didericksen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 21, 2022
Last Updated: Nov 21, 2022

Practice Location

Address: 300 ROGERS COURT
City: Webster
State: Texas
ZIP Code: 77598
Phone: (713) 797-5942

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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