Individual
JAN L. GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
303 MURCHISON ST, FRANKSTON, TX 75763-9721
(903) 876-7387
Mailing address
15001 STATE HIGHWAY 19 S, ATHENS, TX 75751-6564
(903) 253-2469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208484
TX
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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