Individual
JESSICA BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3728 FISH HAWK LNDG, GAHANNA, OH 43230-6445
(614) 483-3461
Mailing address
3728 FISH HAWK LNDG, GAHANNA, OH 43230-6445
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04833
OH
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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