Individual
MRS. JANEEN STUMPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
207 S OLD BETSY RD, KEENE, TX 76059-2426
(817) 645-8888
Mailing address
10116 RAVENSWOOD RD, GRANBURY, TX 76049-4536
(817) 240-3506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214226
TX
Other
Enumeration date
11/17/2019
Last updated
11/17/2019
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