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Individual

JOSE LI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1621 COIT RD, PLANO, TX 75075-6141
(913) 638-8512
Mailing address
417 LAKE LIVINGSTON TRL, MCKINNEY, TX 75071-3333
(318) 402-6082

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215086
TX

Other

Enumeration date
11/26/2018
Last updated
11/26/2018
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