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NPI Code Detail

MEDICARE: LAURA JANE JURNEY OTA

MEDICARE:   LAURA JANE JURNEY  OTA
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
1224Z00000XOccupational Therapy Assistant217370TX

General Provider Information

NPI Number : 1083347991
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA JANE JURNEY OTA
Provider Business Mailing Address
First Line : 17607 LASTING ROSE DR
Second Line :
City : CYPRESS
State : TX
Zip : 77429-4932
Country : US
Telephone Number : 832-707-1381
Fax Number :
Provider Business Practice Location Address
First Line : 14815 CYPRESS NORTH HOUSTON RD
Second Line :
City : CYPRESS
State : TX
Zip : 77429-6181
Country : US
Telephone Number : 281-477-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 07/07/2022

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Directions to “ LAURA JANE JURNEY OTA” Practice Location

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