Individual
JESSICA L HERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9600
(515) 964-0567
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9600
(515) 964-0567
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000905
IA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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