Individual
JESSICA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
Mailing address
2455 OHARE AVE, IMPERIAL, CA 92251-9019
(760) 791-6267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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