Individual
JANA LIANE HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9103 S FM 730, AZLE, TX 76020-1723
(817) 366-6818
Mailing address
404 RACQUET CLUB BLVD, BEDFORD, TX 76022-6408
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214870
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214870
NBCOT
TX
Enumeration date
10/14/2017
Last updated
10/14/2017
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