Individual
JESSICA NICOLE MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
253 BRADINGTON DR, COLUMBIA, IL 62236-2519
(618) 281-6800
Mailing address
5822 FALCON VIEW LN, SAINT LOUIS, MO 63129-2905
(618) 719-5816
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/30/2019
Last updated
06/30/2019
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