Individual
JENNIFER NICOLE TORRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4444 CORONA DR STE 144, CORPUS CHRISTI, TX 78411-4322
(361) 854-1110
Mailing address
305 NE LOOP 820, HURST, TX 76053-7209
(817) 292-8787
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215353
TX
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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