Individual
JACKIE RENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
421 S BONNER ST, JACKSONVILLE, TX 75766-2330
(903) 586-9871
Mailing address
421 S BONNER ST, JACKSONVILLE, TX 75766-2330
(903) 586-9871
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213026
TX
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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