Individual
JENNIFER LANDAVERDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1620 MAGNOLIA ST, LIBERTY, TX 77575-3546
(936) 336-8844
Mailing address
23183 MANION DR, NEW CANEY, TX 77357-6699
(832) 661-2537
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215939
TX
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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