Individual
JANELLY LANDAVERDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23153 WINDWOOD FOREST DR, NEW CANEY, TX 77357-8635
(832) 480-4757
Mailing address
23153 WINDWOOD FOREST DR, NEW CANEY, TX 77357-8635
(832) 480-4757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216412
TX
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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