Provider Demographics
NPI:1427822311
Name:JONES, TEAMBRE CHARDAE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:TEAMBRE
Middle Name:CHARDAE
Last Name:JONES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:TEAMBRE
Other - Middle Name:CHARDAE
Other - Last Name:DUBOSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:722 CRYSTAL OAK LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-4614
Mailing Address - Country:US
Mailing Address - Phone:205-635-5022
Mailing Address - Fax:
Practice Address - Street 1:1295 KINWEST PKWY
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3560
Practice Address - Country:US
Practice Address - Phone:469-351-2280
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-10
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122870225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist