Individual
JENSINE ANN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1 DUVALL ST, MCKINNEY, TX 75069-3210
(215) 391-6091
Mailing address
814 GRAYSTONE DR, GARLAND, TX 75043-3716
(214) 235-5635
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121152
TX
225X00000X
Occupational Therapist
OC016624
PA
Other
Enumeration date
02/07/2020
Last updated
03/10/2021
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