Individual
CHAD ALLEN JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,OTR
Contact information
Practice address
5610 RICHMOND RD, TEXARKANA, TX 75503-0500
(903) 791-9355
(855) 218-5819
Mailing address
2226 SHADY PINES RD, TEXARKANA, TX 75501-8970
(903) 748-3097
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110599
TX
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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