Provider Demographics
NPI:1386947208
Name:BREES, JESSICA PRESCOTT (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:PRESCOTT
Last Name:BREES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 YACHT CLUB PL
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-1938
Mailing Address - Country:US
Mailing Address - Phone:561-722-2689
Mailing Address - Fax:
Practice Address - Street 1:40 YACHT CLUB PL
Practice Address - Street 2:
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469-1938
Practice Address - Country:US
Practice Address - Phone:561-722-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14402225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty