| NPI | 1609359918 |
|---|---|
| Former Name | JONELLE ANTONETTE DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 110144) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-05-24 |