Individual
JESSICA MALLIE LEDFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1361 N BLAINE BRANCH RD, FRANKLIN, NC 28734-8079
(828) 421-6553
Mailing address
1361 N BLAINE BRANCH RD, FRANKLIN, NC 28734-8079
(828) 421-6553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14256
NC
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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