IDOLL TINA JACKSON

TYLER, TX
NPI1427530641
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  209095)
Enumeration Date2018-09-04
Last Update Date2018-09-04
Business Address
Mrs. IDOLL TINA JACKSON COTA
2650 ELKTON TRL
TYLER, TX 75703-0580
Phone number: 903-266-7200
Mailing Address
Mrs. IDOLL TINA JACKSON COTA
250 W NOTTINGHAM DR STE 200
SAN ANTONIO, TX 78209-1896
Phone number: 210-828-5686
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