Provider Demographics
NPI:1598807182
Name:SWITZER, JESSICA DAWN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:DAWN
Last Name:SWITZER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:DAWN
Other - Last Name:RUSHING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:332 ADAMS LN
Mailing Address - Street 2:
Mailing Address - City:MOLINO
Mailing Address - State:FL
Mailing Address - Zip Code:32577-9380
Mailing Address - Country:US
Mailing Address - Phone:850-587-2933
Mailing Address - Fax:
Practice Address - Street 1:9020 UNIVERSITY PKWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32514-5524
Practice Address - Country:US
Practice Address - Phone:850-475-0555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 12099225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics