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NPI Code Detail

MEDICARE: MRS. JANA DENISE GARNETT OTR

MEDICARE:  MRS. JANA DENISE GARNETT  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist1683NM

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740292309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANA DENISE GARNETT OTR
Provider Business Mailing Address
First Line : 855 COUNTY ROAD 226
Second Line :
City : DENVER CITY
State : TX
Zip : 79323-6025
Country : US
Telephone Number : 505-393-0755
Fax Number : 505-393-0249
Provider Business Practice Location Address
First Line : 855 COUNTY ROAD 226
Second Line :
City : DENVER CITY
State : TX
Zip : 79323-6025
Country : US
Telephone Number : 505-393-0755
Fax Number : 505-393-0249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 09/16/2024

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Directions to “ MRS. JANA DENISE GARNETT OTR” Practice Location

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