| NPI | 1689489734 |
|---|---|
| Former Name | ALEXIS JESSUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT25811) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 16284) |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-02-07 |