Individual
CAROLYN ELIZABETH JESSUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11501 HAMILTON AVE, CINCINNATI, OH 45231-1124
(513) 646-4089
Mailing address
11501 HAMILTON AVE, CINCINNATI, OH 45231-1124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04667
OH
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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