Individual
JESSICA NICOLE MILLSAPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1337 S GILBERT RD STE 105, MESA, AZ 85204-6074
(480) 530-0890
Mailing address
4502 E INDIAN SCHOOL RD APT 215, PHOENIX, AZ 85018-5454
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046860
AZ
Other
Enumeration date
01/09/2021
Last updated
01/09/2021
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