Individual
JANA LEIGH ROTHBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1944 N LAKE SHORE DR, ROCKWALL, TX 75087-0350
(972) 772-4707
(469) 310-8856
Mailing address
527 CHRISTOPHER CT, ROCKWALL, TX 75032-8242
(972) 772-4707
(972) 771-5786
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107979
TX
225XP0200X
Pediatric Occupational Therapist
107979
TX
Other
Enumeration date
04/29/2010
Last updated
09/28/2023
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