Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT010000583 | DC |
N | 225XG0600X | Occupational Therapist - Gerontology | OT010000583 | DC |
N | 225XL0004X | Low Vision | OT010000583 | DC |
N | 225XM0800X | Mental Health | OT010000583 | DC |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT010000583 | DC |
N | 225XP0200X | Occupational Therapist - Pediatrics | OT010000583 | DC |
N | 225XR0403X | Driving and Community Mobility | OT010000583 | DC |
NPI | 1467863746 |
---|---|
Provider Name | Jessica Alden |
First Address | Washington, DC 20015-1803 |
Second Address | Washington, DC 20059-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2014 |
Last Update Date | 05/06/2014 |