Individual
MR. JOHN DAVID FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2300 W MORTON ST STE 114, DENISON, TX 75020
(903) 462-4085
(903) 465-5533
Mailing address
2300 W MORTON ST STE 114, DENISON, TX 75020-1671
(903) 462-4085
(903) 465-5533
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119485
TEXAS BOARD OF OCCUPATIONAL THERAPY EXAMINERS
TX
Enumeration date
06/12/2013
Last updated
03/06/2019
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