NPI 1073222345
Jessica Fouts, COTA
Practice location
- Address
- 3445 Boone Rd SE, Salem, OR 97317-9336
- Phone
- (503) 576-3000
- Mailing address
- 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1073222345
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Nov 2022
- Record last updated
- 15 Nov 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.