Individual
JACQUELYN MICHELLE TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2535 LONE STAR DR, DALLAS, TX 75212-6313
(830) 355-8331
Mailing address
3651 SANDY BROOK DR UNIT 206, ROUND ROCK, TX 78665-1554
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11979
TX
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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