Individual
JENNIFER BOEHM GATTUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
540 HWY 29, BERTRAM, TX 78605
(512) 355-2116
Mailing address
540 E HWY 29, BERTRAM, TX 78605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
TX
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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