Individual
MRS. JESSICA A DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
11560 CHAPMAN HWY, SUITE 1, SEYMOUR, TN 37865-5044
(865) 577-1914
(865) 577-1714
Mailing address
1409 KINGSLEY AVE, BLDG 3, ORANGE PARK, FL 32073-4537
(904) 348-5511
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3734647
GROUP PRICING NUMBER
TN
Enumeration date
08/01/2006
Last updated
04/27/2017
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