Individual
JESSICA CORNNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1200 SPRINGFIELD DR, CHICO, CA 95928-6340
(530) 342-4885
Mailing address
710 WATKINS ST, WEST MONROE, LA 71292-6561
(337) 884-4757
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3488
CA
224Z00000X
Occupational Therapy Assistant
OTA.200289
LA
Other
Enumeration date
06/17/2016
Last updated
06/17/2016
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