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Jerusha Otieno

NPI 1083194146 · on the registry since 2018

Practice

Address: 4600 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone: (817) 741-9360
Organisation at this address: Fw Senior Community Ltd Co
Dallas County Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: Occupational Therapy Assistant
224Z00000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2018-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas