Individual
JACLYN MICHELLE VIRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
11 GALLOPING RD, ROUND ROCK, TX 78681-4157
(512) 341-9991
Mailing address
11 GALLOPING RD, ROUND ROCK, TX 78681-4157
(512) 341-9991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
117027
TX
Other
Enumeration date
08/29/2017
Last updated
12/07/2018
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