Individual
JENNA TOMLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12524 CAPELLA TRL, AUSTIN, TX 78732-2394
(512) 587-5671
Mailing address
3403 BANTON RD, B, AUSTIN, TX 78722-1301
(956) 346-0824
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
114784
TX
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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