Individual
JESSICA L TALLENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.O.T OTR/L
Contact information
Practice address
14557 W INDIAN SCHOOL RD STE 500, GOODYEAR, AZ 85395-9243
(623) 229-7808
Mailing address
14557 W INDIAN SCHOOL RD STE 100, GOODYEAR, AZ 85395-9243
(623) 229-7808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5350
AZ
Other
Enumeration date
07/30/2013
Last updated
07/11/2023
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