| NPI | 1942813183 |
|---|---|
| Former Name | JESSICA L ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ND 1801) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 5788) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-08-27 |
| Last Update Date | 2022-11-28 |