JORDAN VANWINKLE

TEXARKANA, TX
NPI1821460692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  213018)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- JORDAN VANWINKLE COTA
3410 MAGNOLIA ST
TEXARKANA, TX 75503-3729
Phone number: 903-792-3003
Mailing Address
-- JORDAN VANWINKLE COTA
3410 MAGNOLIA ST
TEXARKANA, TX 75503-3729
Phone number: 903-792-3003
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