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1104104140
JESSICA ANN DEVERICKS
FORT WORTH, TX
NPI
1104104140
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 116115)
Enumeration Date
2011-07-25
Last Update Date
2018-08-17
Business Address
JESSICA ANN DEVERICKS M.S., OTR/L
1101 W VICKERY BLVD
FORT WORTH, TX 76104
Phone number: 682-885-6294
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Mailing Address
JESSICA ANN DEVERICKS M.S., OTR/L
PO BOX 99283
FORT WORTH, TX 76199-1383
Phone number: 682-885-6294
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