| NPI | 1184168767 |
|---|---|
| Former Name | JESSICA ANN STOCKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3152) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: ME OT3152) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2018-11-19 |