Individual
JENNIFER MAE HALLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N ED CAREY DR, HARLINGEN, TX 78550-7914
(956) 440-1155
(956) 440-0913
Mailing address
1900 S JACKSON RD STE 2, MCALLEN, TX 78503-1589
(956) 630-4400
(956) 630-4447
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213495
TX
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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