Individual
MRS. JESSICA LYNN-WAHL PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1717 UNIVERSITY DR SE, SAINT CLOUD, MN 56304-2023
(320) 251-9120
Mailing address
5072 95TH AVE NE, FOLEY, MN 56329-9599
(320) 250-1550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201555
MN
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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