Jessica Rose Walker, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Wyoming, DE

NPI 1316726656 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1316726656
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
U2-0012249 (DE)
Practice address
7 Front St
Wyoming, DE 19934-1121
Phone
(302) 698-4800
Fax
(302) 697-3406
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
U2-0012249DEMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X U2-0012249 DE Yes

Addresses

Primary practice location

7 Front St
Wyoming, DE 19934-1121

Mailing address

13378 Beaver Dam Rd
Ellendale, DE 19941-3102
Phone (302) 245-3480

Other practice location 1

278 Sorghum Mill Rd
Camden Wyoming, DE 19934-1935
Phone (302) 697-3103

Other names

  • Miss Jessica Rose Sapienza Former name

Other providers in Wyoming, DE

All providers in Wyoming, DE · Occupational Therapy Assistant in Delaware

Sources for this page

Verify at the official NPI Registry.