NPI 1144669052

Jessica Revells, COTAL

Practitioner Occupational Therapy Assistant Fairbanks, AK

Practice location

Address: 734 Manchester Loop, Fairbanks, AK 99712-1120
Phone: (907) 388-4426

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2019 (AK)

Other Occupational Therapy Assistant providers in Alaska →

Registry record

NPI: 1144669052
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2013
Record last updated: 25 Jun 2013

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.