Individual
MRS. JOLI' MARIE HUCKABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
7200 9TH AVE, PORT ARTHUR, TX 77642
(409) 722-2436
(409) 722-2436
Mailing address
P O BOX 806, NEDERLAND, TX 77627
(409) 749-9396
(409) 727-8100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209115
TX
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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