Individual
JESSIE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
4350 E RAY RD STE 101A, PHOENIX, AZ 85044-4707
(480) 704-5954
Mailing address
13601 S 44TH ST APT 2114, PHOENIX, AZ 85044-4891
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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