Individual
MS. JENNIFER L HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
832 W SPRING CREEK PKWY, SUITE NUMBER 300A, PLANO, TX 75023-4633
(972) 424-4243
(972) 424-6211
Mailing address
832 W SPRING CREEK PKWY, SUITE NUMBER 300A, PLANO, TX 75023-4633
(972) 424-4243
(972) 424-6211
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111083
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111083
STATE LICENSE
TX
01
—
8T6135
BLUE CROSS BLUE SHIELD
TX
Enumeration date
02/21/2007
Last updated
07/08/2007
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