Kassandra Sparks Pruitt, COTA

NPI #1770065609 in Longview, Texas

Provider Information

NPI Number
1770065609
Entity Type
Individual
Name
Kassandra Sparks Pruitt, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapist - Pediatrics
Credential
COTA
Enumeration Date
Sep 6, 2018
Last Updated
Sep 6, 2018

Practice Location

Address
4362 US HIGHWAY 259 N STE D
State
Texas
ZIP Code
75605-7674
Phone
(903) 212-7716

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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