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Individual

JESSICA DIANE ROYAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1305 16TH AVE S, NASHVILLE, TN 37212-2923
(615) 578-7411
Mailing address
1305 16TH AVE S, NASHVILLE, TN 37212-2923

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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