Individual
JACOB RAY STOWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1901 MEDI PARK DR STE 65, AMARILLO, TX 79106-2105
(806) 468-7611
(806) 468-7603
Mailing address
1901 MEDI PARK DR STE 65, AMARILLO, TX 79106-2105
(806) 468-7611
(806) 468-7603
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112641
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0217267-01
—
TX
Enumeration date
06/18/2008
Last updated
06/18/2008
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