Individual
MRS. JESSICA LYNN NEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10704 PROVIDENCE DR, LOUISVILLE, KY 40291-4438
(270) 300-6651
Mailing address
10704 PROVIDENCE DR, LOUISVILLE, KY 40291-4438
(270) 300-6651
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A4310
KY
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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