Individual
MS. JADE SHINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4828 LOOP CENTRAL DR, SUITE 100, HOUSTON, TX 77081-2212
(713) 979-3800
(713) 979-3806
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
187053
TX
Other
Enumeration date
05/19/2015
Last updated
05/19/2015
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