Individual
TINA JANICEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
25018 OAKHURST DR, SPRING, TX 77386-2722
(281) 364-9695
Mailing address
25018 OAKHURST DR, SPRING, TX 77386-2722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211345
TX
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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