MEDICARE: JENNIFER BUI 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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1265233043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BUI OTR

Provider Business Mailing Address
First Line	:	564 PARKVIEW DR
Second Line	:
City	:	GRAND PRAIRIE
State	:	TX
Zip	:	75052-3168
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4601 HOLLOW TREE DR
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76018-1287
Country	:	US
Telephone Number	:	972-375-1230
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/19/2025
Last Update Date	:	03/19/2025

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Directions to “ JENNIFER BUI OTR” Practice Location

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