Klostermann, Dwain Ray

Klostermann, Dwain Ray is an individual health care provider with primary practice located at 4601 Hartford St , Abilene TX 79605-4603. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Klostermann, Dwain Ray can be contacted via phone (325) 793-3400.

Contact Information

Primary practice address
4601 Hartford St Abilene TX 79605-4603
Phone: (325) 793-3400
Fax: (325) 793-3534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 100807 Texas

Profile Details

NPI number 1699769604
LBN Legal business name Klostermann, Dwain Ray
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Sep 30th, 2013 - about 11 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 1699769604 NPPES
Other A008 TRICARE
Other 8T0879 TRICARE

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