Individual
JAMES ANDERSON PERSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
5001 GOLDEN TRIANGLE BLVD APT 923, FORT WORTH, TX 76244
(858) 668-6360
Mailing address
5001 GOLDEN TRIANGLE BLVD APT 923, FORT WORTH, TX 76244-7449
(858) 668-6360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210040
TX
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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