Provider Demographics
NPI:1952663908
Name:SESSIONS, NEAL JOHN
Entity Type:Individual
Prefix:MR
First Name:NEAL
Middle Name:JOHN
Last Name:SESSIONS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 GEORGIA PL
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78374-1405
Mailing Address - Country:US
Mailing Address - Phone:361-442-5860
Mailing Address - Fax:
Practice Address - Street 1:113 GEORGIA PL
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:TX
Practice Address - Zip Code:78374-1405
Practice Address - Country:US
Practice Address - Phone:361-442-5860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211301224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant