Individual
JERMYN YOHANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 ROSEDALE DR, MISSOURI CITY, TX 77459-2994
(248) 953-1086
Mailing address
1611 ROSEDALE DR, MISSOURI CITY, TX 77459-2994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008348A
IN
247200000X
Other Technician
—
—
Other
Enumeration date
06/29/2017
Last updated
05/07/2024
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