Serghiou, Mary Jane

Serghiou, Mary Jane is an sole proprietor health care provider with primary practice located at Pediatric Primary Care At Bay Colony 2785 Gulf Freeway South Suite 2.200, League City TX 77573. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Serghiou, Mary Jane can be contacted via phone (888) 886-2543.

Contact Information

Primary practice address
Pediatric Primary Care At Bay Colony 2785 Gulf Freeway South Suite 2.200 League City TX 77573
Phone: (888) 886-2543
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 102469 Texas

Profile Details

NPI number 1669057527
LBN Legal business name Serghiou, Mary Jane
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2021
Last updated Mar 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669057527 NPPES
Texas Other 102469 OT LICENSE

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