Individual
JOCELYN BLANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5555 R DANIEL DR, APT 141, BEAUMONT, TX 77705-0624
(561) 351-8075
Mailing address
5555 R DANIEL DR, APT 141, BEAUMONT, TX 77705-0624
(561) 351-8075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212673
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212673
OCCUPATIONAL THERAPY ASSISTANT LICENSE
TX
Enumeration date
05/20/2015
Last updated
05/20/2015
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