Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE WILCOCK, OTR/L
ActiveJESSE WILCOCK, OTR/L is a Occupational Therapist healthcare provider located in LAKESIDE, Arizona. NPI 1528487840 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · LAKESIDE, AZ
Registration Details
- NPI Number
- 1528487840
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2014 (12.148343834125 yrs)
- Last Updated
- Apr 15, 2014
- Licenses
-
5751 (AZ)5751 (AZ)5751 (AZ)5751 (AZ)
Practice Information
- Address
-
218 W WHITE MOUNTAIN BLVDSUITE A & BLAKESIDE, AZ, 859297013Browse AZ providers · Browse ZIP 85929
- Phone
- 9283675779
- Fax
- 9283675778
- Primary Specialty
-
Occupational Therapist
225X00000X
- Additional Specialty
- Physical Rehabilitation Occupational Therapist
- Additional Specialty
- Mental Health 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.