Individual
JACALYN MITCHELL-STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9430 ASHVILLE DR, HOUSTON, TX 77051-3206
(713) 444-6992
Mailing address
9430 ASHVILLE DR, HOUSTON, TX 77051-3206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201051
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201051
TEXAS BOARD OTA STATE LICENSE
TX
Enumeration date
09/21/2018
Last updated
09/21/2018
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