Individual
JESSICA JANE HAYHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 221-7710
Mailing address
1102 WINKLER AVE, KILLEEN, TX 76542-6249
(254) 634-8505
(254) 221-7710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
112399
TX
225XP0200X
Pediatric Occupational Therapist
Primary
112399
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/06/2007
Last updated
01/26/2015
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