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Individual

ANDREA JO DEJEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
817 N MOUND ST, NACOGDOCHES, TX 75961-4427
(936) 554-0600
Mailing address
817 N MOUND ST, NACOGDOCHES, TX 75961-4427
(936) 564-6907

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117351
TX

Other

Enumeration date
06/05/2018
Last updated
04/28/2020
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