Individual
JESSICA WILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11606 WAYZATA BLVD, MINNETONKA, MN 55305-2009
(952) 544-0349
Mailing address
4352 PICKWICK CIR, APARTMENT E119, HUNTINGTON BEACH, CA 92649-3134
(763) 221-0422
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104131
MN
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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