Individual
JOLENE SUE HAWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3400 ROGER BROOKE DR, SUITE B, FORT SAM HOUSTON, TX 78234-6315
(210) 916-1440
Mailing address
3400 ROGER BROOKE DR, SUITE B, FORT SAM HOUSTON, TX 78234-6315
(210) 916-1440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112306
TX
Other
Enumeration date
11/21/2007
Last updated
11/21/2007
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