Individual
JESSICA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1120 BUSINESS CENTER DR, HOUSTON, TX 77043-2735
(713) 932-2700
Mailing address
616 MEMORIAL HEIGHTS DR, #11304, HOUSTON, TX 77007-5985
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005681
VA
225X00000X
Occupational Therapist
Primary
113526
TX
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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