Individual
MRS. JESSICA LEDESMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
237 MULBERRY ST, SHALLOTTE, NC 28470-4471
(910) 250-8441
Mailing address
33 CORBETT ST NE, BOLIVIA, NC 28422-8647
(910) 512-9790
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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