Individual
JESSICA TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
851 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5257
(931) 542-2168
Mailing address
1316 BLUEBONNET DR, CLARKSVILLE, TN 37042-1566
(270) 421-7236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
137341
KY
225X00000X
Occupational Therapist
Primary
3974
TN
Other
Enumeration date
09/01/2016
Last updated
01/24/2024
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