Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | TX |
NPI | 1003286907 |
---|---|
Provider Name | Mrs. Heather Marie Jones |
First Address | Forney, TX 75126-9734 |
Second Address | Kaufman, TX 75142 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2015 |
Last Update Date | 29/11/2018 |