Individual
JURDEN PASILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113546
TX
225XG0600X
Gerontology Occupational Therapist
007023
OH
Other
Enumeration date
12/04/2009
Last updated
06/11/2019
Update your record
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