JACOB MILES WARDELL

BELTON, TX
NPI1437778974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: TX  116420)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
JACOB MILES WARDELL OTR
308 CYPRESS SPRINGS DR
BELTON, TX 76513-5316
Phone number: 254-718-4398
Mailing Address
JACOB MILES WARDELL OTR
308 CYPRESS SPRINGS DR
BELTON, TX 76513-5316
Phone number: