| NPI | 1528699923 | 
|---|---|
| Former Name | JESSICA MARIE OGAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 114944)  | 
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation | 
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2020-02-04 | 
| Last Update Date | 2020-02-04 |