Individual
BREANA JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 LEMON TWIST LANE, RICHMOND, TX 77406
(813) 505-5071
Mailing address
802 LEMON TWIST LANE, RICHMOND, TX 77406
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
120396
TX
Other
Enumeration date
03/13/2020
Last updated
03/13/2020
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