Individual
JESSICA RENE MCWHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1008 CITIZENS TRL, TEXARKANA, TX 75501-5922
(903) 824-3336
Mailing address
164 HIGHWAY 27 N, LOCKESBURG, AR 71846-9079
(903) 824-3336
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212654
TX
224Z00000X
Occupational Therapy Assistant
OT-A883
AR
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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