Provider Demographics
NPI:1144576315
Name:JAMES, JACQUELINE KEMMY (OT, ATP)
Entity Type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:KEMMY
Last Name:JAMES
Suffix:
Gender:F
Credentials:OT, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 PECAN ST W
Mailing Address - Street 2:SUITE 8
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2602
Mailing Address - Country:US
Mailing Address - Phone:512-251-5977
Mailing Address - Fax:512-251-6017
Practice Address - Street 1:1101 PECAN ST W
Practice Address - Street 2:SUITE 8
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660-2602
Practice Address - Country:US
Practice Address - Phone:512-251-5977
Practice Address - Fax:512-251-6017
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other