Individual provider · Type 1 NPI

Jessica Breanne Pham, OTR, MOT

Occupational Therapist · Southlake, TX

NPI number 1720849151 Active

Practice location

700 E State Highway 114
Southlake, TX 76092-5236

Call (817) 873-2582 Map

Mailing address

5900 Longmont Dr
Denton, TX 76208-1345

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X122746 (TX)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1720849151

Jessica Breanne Pham, OTR, MOT's National Provider Identifier is 1720849151, issued on Jan 22, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Southlake, TX. The record was last updated on Jan 22, 2024.