Individual
JESSICA REVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355 6TH ST, ARCADIA, LA 71001-3109
(318) 263-9581
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
(601) 276-3909
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.200028
LA
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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