Individual
JESSICA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
1200 DUDLEY RD, KILGORE, TX 75662-3306
(903) 984-5571
(903) 984-1913
Mailing address
129 AMY RD, HENDERSON, TX 75652-9625
(903) 363-4525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122361
TX
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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