Individual
CHRISTI JESSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
(210) 694-9494
Mailing address
5423 HAMILTON WOLFE RD, SAN ANTONIO, TX 78229-4344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
00675
IA
224Z00000X
Occupational Therapy Assistant
Primary
209797
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00675
STATE LICENSURE
IA
01
—
209797
STATE LICENSURE
TX
Enumeration date
04/19/2015
Last updated
04/19/2015
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