Individual
JESSICA SOUTHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
55 PINEY MOUNTAIN DR, ASHEVILLE, NC 28805-1297
(828) 255-8255
Mailing address
132 LA MANCHA DR, APT. E, ASHEVILLE, NC 28805-2167
(919) 943-2158
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9133
NC
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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