Individual
JUNE M FENNERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
6310 GENOA AVE STE G, LUBBOCK, TX 79424-2708
(806) 771-7451
(806) 771-7448
Mailing address
PO BOX 64240, LUBBOCK, TX 79464-4240
(806) 771-7451
(806) 771-7448
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
004272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T2635
BCBS
TX
Enumeration date
10/18/2005
Last updated
12/23/2019
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