NPI 1285053843
Jessica Holt, COTAL
Practice location
- Address
- 1301 E Broadway St, Missoula, MT 59802-4905
- Phone
- (412) 721-9337
- Mailing address
- 25117 SW Parkway Ave STE D, Wilsonville, OR 97070-9697
Registered specialties (3)
Occupational Therapy Assistant
Primary
Occupational Therapy Assistant
Occupational Therapy Assistant
Registry record
- NPI
- 1285053843
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 10 Apr 2014
- Record last updated
- 17 Dec 2021
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.