Individual
MRS. JENNIFER GAYLE VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT CHT
Contact information
Practice address
1441 WOODSTEAD CT, STE 200, THE WOODLANDS, TX 77380-1410
(281) 364-7752
(281) 292-2726
Mailing address
1441 WOODSTEAD CT, STE 200, THE WOODLANDS, TX 77380-1410
(281) 364-7752
(281) 292-2726
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
108921
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T3022
BCBS OF TX
TX
Enumeration date
08/28/2006
Last updated
01/13/2010
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