| NPI | 1376020826 |
|---|---|
| Former Name | JESSICA LYNN WASHBURN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 7890) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT19414) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2024-02-23 |