Individual
JESSY JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2011 SAN MARINO LN, LEWISVILLE, TX 75077-3346
(122) 443-3347
Mailing address
2011 SAN MARINO LN, LEWISVILLE, TX 75077-3346
(122) 443-3347
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215167
TX
Other
Enumeration date
01/01/2015
Last updated
03/20/2024
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