Individual
JESSICA KUSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19401 S VERMONT AVE STE A200, TORRANCE, CA 90502-4418
(310) 323-6887
Mailing address
19401 S VERMONT AVE STE A200, TORRANCE, CA 90502-4418
(310) 323-6887
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2019
Last updated
02/03/2020
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