National Provider Identifier
Jessica Provost, OTD, OTR/L
Jessica Provost, OTD, OTR/L is listed in the NPPES registry with a primary specialty of Pediatric Occupational Therapist in Cambridge, OH and a listed phone number of (740) 439-8977.
Source: public NPPES record, last updated March 23, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1992454128
- Provider Type
- Individual
- Primary Specialty
- Pediatric Occupational Therapist
- Enumeration Date
- March 23, 2022
- Last Updated
- March 23, 2022
Practice Location
- 10095 Brick Church RD
- Cambridge, OH 43725-8550
Phone: (740) 439-8977
Mailing Address
- 2441 Ohio Ave
- Cambridge, OH 43725-9122
Specialties
- Pediatric Occupational Therapist (225XP0200X)
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Biography
Jessica Provost, OTD, OTR/L, is an occupational therapist based in Cambridge, Ohio, with a clinical focus in pediatric occupational therapy.
Full Record
- NPI
- 1992454128
- Entity Type
- Individual
- Last Name
- Provost
- First Name
- Jessica
- Credential
- OTD, OTR/L
- Mailing Street Address
- 2441 Ohio Ave
- Mailing City
- Cambridge
- Mailing State
- OH
- Mailing ZIP Code
- 43725-9122
- Mailing Country
- US
- Practice Street Address
- 10095 Brick Church RD
- Practice City
- Cambridge
- Practice State
- OH
- Practice ZIP Code
- 43725-8550
- Practice Country
- US
- Practice Phone
- (740) 439-8977
- Enumeration Date
- March 23, 2022
- Last Updated
- March 23, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 23, 2022
- Taxonomies
- Pediatric Occupational Therapist (225XP0200X)
- Other Identifiers
- OT011325 (Occupational Therapist License)