Individual
MISS CORINNA CARLA JUMAO-AS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6029 BELT LINE RD STE 100, DALLAS, TX 75254-9137
(972) 392-7008
(972) 392-1171
Mailing address
6029 BELT LINE RD STE 100, DALLAS, TX 75254-9137
(972) 392-7008
(972) 392-1171
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111489
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4335
BLUE CROSS BLUE SHIELD
TX
Enumeration date
08/21/2006
Last updated
07/08/2007
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