Individual
JESSICA DEANNE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4138 CYPRESS VILLAGE RD, KARNACK, TX 75661-1754
(903) 574-8086
Mailing address
4138 CYPRESS VILLAGE RD, KARNACK, TX 75661-1754
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216491
TX
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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