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Individual

JENNI JO HABERTHUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
115 E TEXAS BLVD, DALHART, TX 79022-4319
(806) 244-0015
Mailing address
PO BOX 23, SUNRAY, TX 79086-0023
(806) 948-4589

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
109773
TX

Other

Enumeration date
05/09/2007
Last updated
07/08/2007
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