Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN LEONTINE JESSEN, OTR/L, IBCLC
Active Sole ProprietorFeeding, Eating & Swallowing Occupational Therapist · ROANOKE, TX
Registration Details
- NPI Number
- 1669614905
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2009 (17.05604032505 yrs)
- Last Updated
- Jun 22, 2023
- Licenses
-
L302117122278 (TX)122278 (TX)122278 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11309 DUSTY TRAIL CTROANOKE, TX, 762621927Browse TX providers · Browse ZIP 76262
- Phone
- 9402089198
- Primary Specialty
-
Feeding, Eating & Swallowing Occupational Therapist
225XF0002X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
- Additional Specialty
- Feeding, Eating & Swallowing 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.