Individual
JESSICA LYNN REICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 N EISENHOWER AVE, MASON CITY, IA 50401-1525
(800) 433-3833
Mailing address
21467 25TH ST, CRESCO, IA 52136-8432
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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