Individual
JESSE ELAINE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
175 DEER RUN RD, DANVILLE, VA 24540-2863
(434) 797-5531
Mailing address
112 FOREST CT, DANVILLE, VA 24540-6104
(256) 399-2633
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0132768
VA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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