| NPI | 1124274550 |
|---|---|
| Former Name | JESSICA LEE TEZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 010781-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC008366) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2011-12-07 |