Individual
CHRISTIAN BLAKE JESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
420 DEAN DR, GARDENDALE, AL 35071-2763
(205) 631-8709
Mailing address
6655 POST OAK DR, BESSEMER, AL 35023-5795
(256) 531-4410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2703
AL
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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