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Individual

MRS. JESSICA LYNN GARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1073 N BRYANT AVE STE 100, EDMOND, OK 73034-3261
(405) 513-8186
(888) 519-5101
Mailing address
1073 N BRYANT AVE STE 100, EDMOND, OK 73034-3261
(405) 513-8186
(888) 519-5101

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1627
OK

Other

Enumeration date
01/19/2021
Last updated
01/19/2021
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