Individual
MRS. JENNA MARIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1881 SYLVAN AVE # 150, DALLAS, TX 75208-2083
(214) 743-1200
Mailing address
1881 SYLVAN AVE # 150, DALLAS, TX 75208-2083
(409) 782-5347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119008100
VA
225X00000X
Occupational Therapist
Primary
113804
TX
Other
Enumeration date
06/04/2012
Last updated
03/21/2023
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