Kemp, Mia J

Kemp, Mia J is an individual health care provider with primary practice located at 3410 Magnolia St , Texarkana TX 75503-3729. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kemp, Mia J can be contacted via phone (903) 792-3003.

Contact Information

Primary practice address
3410 Magnolia St Texarkana TX 75503-3729
Phone: (903) 792-3003
Fax: (903) 792-3003
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 105633 Texas

Profile Details

NPI number 1336177658
LBN Legal business name Kemp, Mia J
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 25th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336177658 NPPES
Texas MEDICAID 179227701
Texas Other 8T6082

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