Individual
JESSICA KIRSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5535 S WILLIAMSON BLVD, SUITE 774, PORT ORANGE, FL 32128-8311
(888) 265-2680
Mailing address
14 MONHEGON AVE, ROCKAWAY, NJ 07866-1808
(973) 975-2068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10688
NC
225X00000X
Occupational Therapist
—
NJ
Other
Enumeration date
02/07/2017
Last updated
10/14/2019
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