Individual
JESSICA O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
14095043-4701
UT
225X00000X
Occupational Therapist
Primary
8395470-4201
UT
Other
Enumeration date
05/16/2019
Last updated
08/07/2024
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