Individual
MRS. JESSICA FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4700 ALLIANCE BLVD, PLANO, TX 75093-5323
(469) 814-2550
Mailing address
4700 ALLIANCE BLVD, PLANO, TX 75093-5323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115922
TX
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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