Individual
MR. JODY POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
146 MOUNT VERNON RD, BOGATA, TX 75417-2674
(903) 249-5998
Mailing address
146 MOUNT VERNON RD, BOGATA, TX 75417-2674
(903) 249-5998
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114187
TX
Other
Enumeration date
09/04/2016
Last updated
09/04/2016
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