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Jessica Nicole Fernandez

Occupational Therapy Assistant in Katy, TX. Individual provider (NPI-1).

NPI number1982245601
StatusActive
Last updated in NPPESOct 3, 2019

Details

NPI
1982245601
Entity type
Individual (NPI-1)
Name
Jessica Nicole Fernandez
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2019
Last updated
Oct 3, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant––Yes

Practice location

21703 Kingsland Blvd Ste 100
Katy, TX 77450-2521

Phone 281-769-1015

Mailing address

2643 W Fm 1093 Rd
Wallis, TX 77485-9033

Phone 979-627-3109

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