Individual
JESSICA A BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 LAKESIDE BLVD #150, RICHARDSON, TX 75082
(214) 329-9600
(214) 329-9235
Mailing address
2150 LAKESIDE BLVD # 150, RICHARDSON, TX 75082-4302
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115925
TX
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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