Individual
MS. IENNATICA LYNNE O BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
6109 MAPLE ST, HOUSTON, TX 77074-7449
(713) 668-6690
Mailing address
5422 HAVEN OAKS DR, HUMBLE, TX 77339-1250
(281) 913-2009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109489
TX
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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