Individual
DOMINIQUE DEZEREE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
23775 KINGWOOD PLACE DR, KINGWOOD, TX 77339-3817
(281) 318-2600
Mailing address
6123 FAIRWAY MANOR LN, SPRING, TX 77373-4933
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210676
TX
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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