Individual
MS. JANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
2201 N BEDELL AVE, #B, DEL RIO, TX 78840-8007
(830) 774-1556
(830) 774-6150
Mailing address
2201 N BEDELL AVE, #B, DEL RIO, TX 78840-8007
(830) 774-1556
(830) 774-6150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT110488
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4300
BLUE CROSS ID NUMBER
TX
Enumeration date
06/08/2006
Last updated
02/04/2008
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