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Organization
ENGAGE OF JONESBORO PLLC
Active
Organization
ENGAGE OF JONESBORO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T MORRISON (OWNER)
(612) 300-2039
Entity
Organization
Contact information
Practice address
1919 COUNTY ROAD 333, JONESBORO, AR 72401-0432
(612) 300-2039
(870) 533-5530
Mailing address
1919 COUNTY ROAD 333, JONESBORO, AR 72401-0432
(612) 300-2039
(870) 533-5530
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588044226
—
AR
Enumeration date
06/18/2017
Last updated
03/24/2025
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