Individual
JURDEN PASILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
3715 COLONY PARK DR, TYLER, TX 75701-9603
(512) 579-9104
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
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