# DR. GESSICA DIAN STOVALL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891335279
- **Gender:** F
- **Credential:** OTD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 11511725-4201 | UT | Yes |
| 225XE0001X | Environmental Modification Occupational Therapist | 11511725-4201 | UT | — |
| 225XE1200X | Ergonomics Occupational Therapist | 11511725-4201 | UT | — |
| 225XG0600X | Gerontology Occupational Therapist | 11511725-4201 | UT | — |
| 225XL0004X | Low Vision Occupational Therapist | 11511725-4201 | UT | — |
| 225XM0800X | Mental Health Occupational Therapist | 11511725-4201 | UT | — |
| 225XN1300X | Neurorehabilitation Occupational Therapist | 11511725-4201 | UT | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | 11511725-4201 | UT | — |
| 225XP0200X | Pediatric Occupational Therapist | 11511725-4201 | UT | — |
| 225XR0403X | Driving and Community Mobility Occupational Therapist | 11511725-4201 | UT | — |

## Other

- **Enumeration date:** 01/13/2020
- **Last updated:** 01/13/2020