Individual
JESSICA REISHUS DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107172
MN
225X00000X
Occupational Therapist
1834
ND
225X00000X
Occupational Therapist
439753
OR
225X00000X
Occupational Therapist
OT.0007405
CO
225X00000X
Occupational Therapist
OT2224
ID
Other
Enumeration date
07/22/2020
Last updated
10/06/2023
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