Individual
JAN MYONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N WATTERS RD SUITE 150, ALLEN, TX 75013
(469) 675-3153
(469) 675-3154
Mailing address
800 N WATTERS RD SUITE 150, ALLEN, TX 75013
(469) 675-3153
(469) 675-3154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113770
TX
225XP0200X
Pediatric Occupational Therapist
113770
TX
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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