Individual
JESSI JONES BLISSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
106 EMRY CV, MADISON, MS 39110-7784
(601) 826-6843
Mailing address
106 EMRY CV, MADISON, MS 39110-7784
(601) 826-6843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA3126
MS
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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