Individual
JONNA STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
700 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5236
(682) 305-0657
Mailing address
700 E STATE HIGHWAY 114, SOUTHLAKE, TX 76092-5236
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110531
TX
Other
Enumeration date
01/23/2018
Last updated
12/01/2021
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