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1083194146
JERUSHA OTIENO
FORT WORTH, TX
NPI
1083194146
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 211239)
Enumeration Date
2018-08-17
Last Update Date
2018-08-17
Business Address
JERUSHA OTIENO
4600 HERITAGE TRACE PKWY
FORT WORTH, TX 76244-8900
Phone number: 817-741-9360
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Mailing Address
JERUSHA OTIENO
4600 HERITAGE TRACE PKWY
FORT WORTH, TX 76244-8900
Phone number:
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