Individual
DYNA A JOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 W EXCHANGE PKWY STE 100, ALLEN, TX 75013-7018
(214) 547-1571
Mailing address
5000 WHITESTONE LN APT 122, PLANO, TX 75024-3033
(201) 989-7577
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
113815
TX
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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