Provider Demographics
NPI:1780064089
Name:ANDRAS, KELLY SOLIS (OTR)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:SOLIS
Last Name:ANDRAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:325 RIDGEHAVEN PL
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-2537
Mailing Address - Country:US
Mailing Address - Phone:214-616-2932
Mailing Address - Fax:972-863-3511
Practice Address - Street 1:8802 HARRY HINES BLVD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-1716
Practice Address - Country:US
Practice Address - Phone:214-616-2932
Practice Address - Fax:972-863-3511
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX111771224ZF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No224ZF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantFeeding, Eating & Swallowing