Individual
GINA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
805 S IRVING HEIGHTS DR APT 269, IRVING, TX 75060-4423
(214) 429-0382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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