Kathleen Leontine Jessen, OTR/L, IBCLC

NPI #1669614905 in Roanoke, Texas

Provider Information

NPI Number: 1669614905
Entity Type: Individual
Name: Kathleen Leontine Jessen, OTR/L, IBCLC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist - Feeding, Eating & Swallowing
Credential: OTR/L, IBCLC
Enumeration Date: Apr 1, 2009
Last Updated: Jun 22, 2023

Practice Location

Address: 11309 DUSTY TRAIL CT
City: Roanoke
State: Texas
ZIP Code: 76262-1927
Phone: (940) 208-9198

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lactation Consultant, Non-RN	174N00000X
Occupational Therapist	225X00000X
Occupational Therapist - Pediatrics — Pediatrics	225XP0200X
Occupational Therapist - Feeding, Eating & Swallowing — Feeding, Eating & Swallowing	225XF0002X	Primary

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