# MRS. JESSICA KRISTEEN WOOD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1770879983
- **Gender:** F
- **Credential:** MOT, OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 31005314A | IN | Yes |

## Other

- **Enumeration date:** 06/26/2011
- **Last updated:** 12/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 31005314A | OCCUPATIONAL THERAPY LICENSE | IN |
| 05 | — | 7100405700 | — | KY |