Jesse Wilcock, OTR/L

NPI #1528487840 in Lakeside, Arizona

Provider Information

NPI Number: 1528487840
Entity Type: Individual
Name: Jesse Wilcock, OTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Apr 15, 2014
Last Updated: Apr 15, 2014

Practice Location

Address: 218 W WHITE MOUNTAIN BLVD
Address 2: SUITE A & B
City: Lakeside
State: Arizona
ZIP Code: 85929-7013
Phone: (928) 367-5779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Occupational Therapist - Physical Rehabilitation — Physical Rehabilitation	225XP0019X
Occupational Therapist - Mental Health — Mental Health	225XM0800X
Occupational Therapist	225X00000X	Primary

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