Individual
JANA FUXA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1650 REPUBLIC PKWY, SUITE 103, MESQUITE, TX 75150-6916
(972) 698-1140
(972) 681-8753
Mailing address
2145 US HIGHWAY 80 E, APT 305, MESQUITE, TX 75150-5558
(214) 957-4561
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110616
TX
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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