Individual
WILLIAM JAY DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 942-6790
Mailing address
415 DOGWOOD ST, WALDO, AR 71770-9069
(870) 949-5334
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211837
TX
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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