Individual
JESSICA ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 JAMES ST APT 9A, APEX, NC 27502-2175
(919) 630-8435
Mailing address
300 JAMES ST APT 9A, APEX, NC 27502-2175
(919) 630-8435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15595
NC
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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