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NPI Code Detail

MEDICARE: JESSICA ARIAS OTR/L

MEDICARE: JESSICA ARIAS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XG0600XGerontology Occupational Therapist121678TX

General Provider Information

NPI Number : 1326719212
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA ARIAS OTR/L
Provider Business Mailing Address
First Line : 1545 ARRINGTON RD APT 2426
Second Line :
City : COLLEGE STATION
State : TX
Zip : 77845-8487
Country : US
Telephone Number : 402-730-6368
Fax Number :
Provider Business Practice Location Address
First Line : 2817 KENT ST
Second Line :
City : BRYAN
State : TX
Zip : 77802-5214
Country : US
Telephone Number : 979-776-7521
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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Directions to “ JESSICA ARIAS OTR/L” Practice Location

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