IndividualActive
Christian Jesse, OTA
NPI 1942068085 · Occupational Therapy Assistant · Gardendale, AL
Provider details
- NPI number
- 1942068085
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2703 (AL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
420 Dean Dr
Gardendale, AL 35071-2763
Phone: (205) 631-8709
Approximate (ZIP-level) locationGet directions
Mailing address
6655 Post Oak Dr
Bessemer, AL 35023-5795
Registry dates
- Enumerated
- 2024-03-12
- Last updated
- 2024-03-12
- Certified
- 2024-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.