Individual
JESSICA HOPE QUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7080 N 19TH AVE, PHOENIX, AZ 85021-8585
(623) 526-0281
Mailing address
5010 E CHEYENNE DR APT 2107, PHOENIX, AZ 85044-1778
(321) 317-7548
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA046917
AZ
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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