Individual
JESSICA BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 S 29TH ST, FORT PIERCE, FL 34947-3626
(772) 465-7560
Mailing address
9312 PORTSIDE DR, FORT PIERCE, FL 34945-3309
(561) 676-4777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16437
FL
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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