Individual
JESSICA RACHEL NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1045 WHIPPLE ST, PRESCOTT, AZ 86305-1662
(928) 777-9897
(928) 717-0019
Mailing address
PO BOX 11034, PRESCOTT, AZ 86304-1034
(413) 364-8532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0373-P
AZ
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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