CHRISTIAN BLAKE JESSE

GARDENDALE, AL
NPI1942068085
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  2703)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
CHRISTIAN BLAKE JESSE OTA
420 DEAN DR
GARDENDALE, AL 35071-2763
Phone number: 205-631-8709
Mailing Address
CHRISTIAN BLAKE JESSE OTA
6655 POST OAK DR
BESSEMER, AL 35023-5795
Phone number: 256-531-4410
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