JESSICA SIDES

PUYALLUP, WA
NPI1225625056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC60610891)
Enumeration Date2020-12-28
Last Update Date2020-12-28
Business Address
JESSICA SIDES COTA
400 29TH ST NE
PUYALLUP, WA 98372-6774
Phone number: 903-267-9981
Mailing Address
JESSICA SIDES COTA
9822 158TH ST E APT 1
PUYALLUP, WA 98375-8919
Phone number: