Provider Demographics
NPI:1316923204
Name:POLLARD, JAMES HAROLD (OTR)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:HAROLD
Last Name:POLLARD
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 ENGLEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-3234
Mailing Address - Country:US
Mailing Address - Phone:432-362-8348
Mailing Address - Fax:
Practice Address - Street 1:111 PARKS VILLAGE DR
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79765-8911
Practice Address - Country:US
Practice Address - Phone:432-563-5707
Practice Address - Fax:432-563-1896
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109613225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist