Individual
JENNIFER SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 W STATE HIGHWAY 6, WACO, TX 76712-4041
(254) 761-8500
Mailing address
821 GLASGOW DR, WACO, TX 76710-5751
(903) 240-6977
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210658
TX
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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