John Dejesus

Occupational Therapist · Tyler, TX

Individual Active NPI

NPI number 1962745497

Practice location

921 Shiloh Rd
Suite C-120
Tyler, TX 75703-1431
Phone
(903) 838-7604
Fax
(817) 789-6849

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NPI record

NPI
1962745497
Entity type
Individual (Type 1)
Enumeration date
April 3, 2013
Last updated
April 3, 2013
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapist Primary 225X00000X 111213 TX

Mailing address

305 NE Loop 820
Business Tower 1; Suite 200
Hurst, TX 76053-7209
Phone
(817) 292-8787
Fax
(817) 789-6849

About John Dejesus

John Dejesus is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapist (code 225X00000X). The practice location is 921 Shiloh Rd, Suite C-120, Tyler, TX 75703-1431. The NPI number 1962745497 was assigned on April 3, 2013 and the record was last updated on April 3, 2013.

John Dejesus lists a license in the registry: #111213 (TX) for Occupational Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Dejesus?

The NPI number is 1962745497.

What is the phone number of John Dejesus?

The phone number listed for the practice location is (903) 838-7604.

Where is John Dejesus located?

921 Shiloh Rd, Suite C-120, Tyler, TX 75703-1431.

What is the taxonomy code for John Dejesus?

The primary taxonomy code is 225X00000X – Occupational Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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