Individual
MRS. JESSICA KUEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9441 LBJ FWY, SUITE 602, DALLAS, TX 75243-4545
(469) 249-1883
Mailing address
305 2ND AVE N, ALBANY, IL 61230
(815) 973-7899
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.004336
IL
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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