Individual
JENNIFER LORI FREEBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2428 SAN MEDINA AVE, DALLAS, TX 75228-3112
(214) 282-4863
Mailing address
2428 SAN MEDINA AVE, DALLAS, TX 75228-3112
(214) 282-4863
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211932
TX
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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