Individual
MRS. JESSICA MARIE ADCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2386 FALLINGWATER LN APT 304, CORDOVA, TN 38016-7684
(901) 605-8530
Mailing address
2386 FALLINGWATER LN APT 304, CORDOVA, TN 38016-7684
(901) 605-8530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3390
TN
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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