Individual
JESSICA LEE CLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1006 E COCHISE DR, PHOENIX, AZ 85020-1548
(541) 852-6459
Mailing address
1006 E COCHISE DR, PHOENIX, AZ 85020-1548
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
396816
OR
Other
Enumeration date
07/25/2018
Last updated
07/19/2024
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