Individual
JENNIFER BOYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2158 PORTSMOUTH ST, HOUSTON, TX 77098-4057
(713) 529-4990
Mailing address
23234 POSTWOOD PARK LN, SPRING, TX 77373-4963
(281) 350-8144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110365
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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