Individual
JESSICA HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 E SHERMAN AVE STE 307, COEUR D ALENE, ID 83814-2756
(951) 255-9034
Mailing address
322 N 17TH ST, COEUR D ALENE, ID 83814-5455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/24/2022
Last updated
02/03/2026
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