Individual
JESSICA HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 PLEASANT ST, BROCKTON, MA 02301-3052
(508) 631-2280
Mailing address
96 OLD COLONY AVE APT 234, EAST TAUNTON, MA 02718-1128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11920
MA
Other
Enumeration date
02/28/2018
Last updated
10/30/2018
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