Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA REISHUS DAVIDSON, OTD, OTR/L
ActiveJESSICA REISHUS DAVIDSON, OTD, OTR/L is a Occupational Therapist healthcare provider located in FRAZEE, Minnesota. NPI 1205444619 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FRAZEE, MN
Registration Details
- NPI Number
- 1205444619
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2020 (6.0281275768121 yrs)
- Last Updated
- Oct 6, 2023
- Licenses
-
439753 (OR)OT.0007405 (CO)OT2224 (ID)1834 (ND)107172 (MN)
Practice Information
- Address
-
50438 W LAKE SEVEN RDFRAZEE, MN, 565448919Browse MN providers · Browse ZIP 56544
- Phone
- 2182342094
- Fax
- 8888922924
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.