Individual
JENNA KAPUSCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8600 SKYLINE DR, DALLAS, TX 75243-4198
(214) 355-9001
Mailing address
8600 SKYLINE DR, DALLAS, TX 75243-4198
(214) 355-9001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
212912
TX
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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