Individual
JONATHAN NOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11110 TOM ADAMS DR, AUSTIN, TX 78753-3354
(512) 580-9882
Mailing address
8801 MCCANN DR APT 244, AUSTIN, TX 78757-6992
(512) 775-0075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
465203
TX
Other
Enumeration date
09/07/2024
Last updated
09/07/2024
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