Individual
JONATHAN MARK OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
1460 LIGHTHOUSE DR, BLUFF DALE, TX 76433-4227
(817) 269-9138
Mailing address
1460 LIGHTHOUSE DR, BLUFF DALE, TX 76433-4227
(817) 269-9138
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
110424
TX
225XP0200X
Pediatric Occupational Therapist
Primary
110424
TX
Other
Enumeration date
04/20/2007
Last updated
09/11/2025
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