Individual
JESSICA DIANE ROYAL
Active
Individual
JESSICA DIANE ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000007113
TN
225X00000X
Occupational Therapist
OT010001522
DC
Other
Enumeration date
11/02/2018
Last updated
08/09/2023
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