Individual provider · NPI-1

Jane Bomer, M.O.T., O.T.R.

Occupational Therapist · Conroe, TX

NPI number1184753550
StatusActive
Last updated in NPPESMar 24, 2010

Details

NPI
1184753550
Entity type
Individual (NPI-1)
Name
Miss Jane Bomer
Credential
M.O.T., O.T.R.
Sex
Female
Sole proprietor
No
Enumeration date
Mar 3, 2007
Last updated
Mar 24, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist304475TXYes

Other names

  • Jane Ronzio (Former Name)

Practice location

4015 Interstate 45 N
Conroe, TX 77304-4901

Phone 936-522-4731 · Fax 936-522-4737

Mailing address

4015 Interstate 45 N
Conroe, TX 77304-4901

Phone 936-522-4731 · Fax 936-522-4737

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