Individual
WHITTLEY LAREN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3301 W PARK ROW BLVD, CORSICANA, TX 75110-4846
(903) 872-2455
Mailing address
3604 INTERURBAN BLVD, CORSICANA, TX 75110-1484
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213216
TX
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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