Individual
DR. JESSICA KELLY VILLERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
120 E MAIN ST, MANKATO, MN 56001-3501
(507) 322-5464
Mailing address
9400 ZANE AVE N, BROOKLYN PARK, MN 55443-1814
(763) 762-8800
(763) 315-4669
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105740
MN
Other
Enumeration date
08/10/2018
Last updated
06/24/2021
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