Individual
JESSICA SUE ESTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-5108
Mailing address
1008 MINNEQUA AVE, PUEBLO, CO 81004-3733
(719) 557-5108
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119003156
VA
225X00000X
Occupational Therapist
Primary
2584
CO
225X00000X
Occupational Therapist
3496
SC
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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