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Individual

JESSICA A VANDEGRIFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
10675 COUNTY ROAD 24, FAIRHOPE, AL 36532-5058
(251) 928-3640
(251) 928-3640
Mailing address
10675 COUNTY ROAD 24, FAIRHOPE, AL 36532-5058
(251) 928-3640
(251) 928-3640

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2713
AL

Other

Enumeration date
08/31/2018
Last updated
08/31/2018
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